Classifications

• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07K—PEPTIDES
  • C07K16/00—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
  • C07K16/18—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans
  • C07K16/32—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against translation products of oncogenes
• • A—HUMAN NECESSITIES
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  • A61K31/33—Heterocyclic compounds
  • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
  • A61K31/55—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having seven-membered rings, e.g. azelastine, pentylenetetrazole
  • A61K31/551—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having seven-membered rings, e.g. azelastine, pentylenetetrazole having two nitrogen atoms, e.g. dilazep
  • A61K31/5513—1,4-Benzodiazepines, e.g. diazepam or clozapine
  • A61K31/5517—1,4-Benzodiazepines, e.g. diazepam or clozapine condensed with five-membered rings having nitrogen as a ring hetero atom, e.g. imidazobenzodiazepines, triazolam
• • A—HUMAN NECESSITIES
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• • A—HUMAN NECESSITIES
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  • A61K31/7028—Compounds having saccharide radicals attached to non-saccharide compounds by glycosidic linkages
  • A61K31/7034—Compounds having saccharide radicals attached to non-saccharide compounds by glycosidic linkages attached to a carbocyclic compound, e.g. phloridzin
  • A61K31/704—Compounds having saccharide radicals attached to non-saccharide compounds by glycosidic linkages attached to a carbocyclic compound, e.g. phloridzin attached to a condensed carbocyclic ring system, e.g. sennosides, thiocolchicosides, escin, daunorubicin
• • A—HUMAN NECESSITIES
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  • A61K39/395—Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum
  • A61K39/39533—Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum against materials from animals
  • A61K39/3955—Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum against materials from animals against proteinaceous materials, e.g. enzymes, hormones, lymphokines
• • A—HUMAN NECESSITIES
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  • A61K47/68—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment
• • A—HUMAN NECESSITIES
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  • A61K47/6801—Drug-antibody or immunoglobulin conjugates defined by the pharmacologically or therapeutically active agent
  • A61K47/6803—Drugs conjugated to an antibody or immunoglobulin, e.g. cisplatin-antibody conjugates
  • A61K47/6807—Drugs conjugated to an antibody or immunoglobulin, e.g. cisplatin-antibody conjugates the drug or compound being a sugar, nucleoside, nucleotide, nucleic acid, e.g. RNA antisense
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• • A—HUMAN NECESSITIES
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  • A61K47/6835—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment the modifying agent being an antibody or an immunoglobulin bearing at least one antigen-binding site
  • A61K47/6851—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment the modifying agent being an antibody or an immunoglobulin bearing at least one antigen-binding site the antibody targeting a determinant of a tumour cell
  • A61K47/6855—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment the modifying agent being an antibody or an immunoglobulin bearing at least one antigen-binding site the antibody targeting a determinant of a tumour cell the tumour determinant being from breast cancer cell
• • A—HUMAN NECESSITIES
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  • A61K47/6835—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment the modifying agent being an antibody or an immunoglobulin bearing at least one antigen-binding site
  • A61K47/6851—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment the modifying agent being an antibody or an immunoglobulin bearing at least one antigen-binding site the antibody targeting a determinant of a tumour cell
  • A61K47/6863—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment the modifying agent being an antibody or an immunoglobulin bearing at least one antigen-binding site the antibody targeting a determinant of a tumour cell the tumour determinant being from stomach or intestines cancer cell
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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• • A—HUMAN NECESSITIES
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  • A61P35/00—Antineoplastic agents
• • A—HUMAN NECESSITIES
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  • A61P35/04—Antineoplastic agents specific for metastasis
• • A—HUMAN NECESSITIES
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  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07K—PEPTIDES
  • C07K16/00—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
  • C07K16/18—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans
  • C07K16/28—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants
  • C07K16/2863—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants against receptors for growth factors, growth regulators
• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07K—PEPTIDES
  • C07K16/00—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
  • C07K16/18—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans
  • C07K16/28—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants
  • C07K16/30—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants from tumour cells
  • C07K16/3015—Breast
• • G—PHYSICS
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  • G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
  • G01N33/00—Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
  • G01N33/48—Biological material, e.g. blood, urine; Haemocytometers
  • G01N33/50—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
  • G01N33/53—Immunoassay; Biospecific binding assay; Materials therefor
  • G01N33/574—Immunoassay; Biospecific binding assay; Materials therefor for cancer
  • G01N33/57407—Specifically defined cancers
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• • G—PHYSICS
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  • G01N33/48—Biological material, e.g. blood, urine; Haemocytometers
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  • G01N33/53—Immunoassay; Biospecific binding assay; Materials therefor
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• • G—PHYSICS
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  • G01N33/48—Biological material, e.g. blood, urine; Haemocytometers
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  • G01N33/53—Immunoassay; Biospecific binding assay; Materials therefor
  • G01N33/574—Immunoassay; Biospecific binding assay; Materials therefor for cancer
  • G01N33/57484—Immunoassay; Biospecific binding assay; Materials therefor for cancer involving compounds serving as markers for tumor, cancer, neoplasia, e.g. cellular determinants, receptors, heat shock/stress proteins, A-protein, oligosaccharides, metabolites
  • G01N33/57492—Immunoassay; Biospecific binding assay; Materials therefor for cancer involving compounds serving as markers for tumor, cancer, neoplasia, e.g. cellular determinants, receptors, heat shock/stress proteins, A-protein, oligosaccharides, metabolites involving compounds localized on the membrane of tumor or cancer cells
• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07K—PEPTIDES
  • C07K2317/00—Immunoglobulins specific features
  • C07K2317/20—Immunoglobulins specific features characterized by taxonomic origin
  • C07K2317/24—Immunoglobulins specific features characterized by taxonomic origin containing regions, domains or residues from different species, e.g. chimeric, humanized or veneered
• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07K—PEPTIDES
  • C07K2317/00—Immunoglobulins specific features
  • C07K2317/30—Immunoglobulins specific features characterized by aspects of specificity or valency
  • C07K2317/34—Identification of a linear epitope shorter than 20 amino acid residues or of a conformational epitope defined by amino acid residues
• • C—CHEMISTRY; METALLURGY
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• • C—CHEMISTRY; METALLURGY
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Definitions

• the present invention relates to anti-HER2 antibodies and immunoconjugates and methods of using the same.
• HER2 ErbB2 receptor tyrosine kinase
• EGFR epidermal growth factor receptor
• Overexpression of HER2 is observed in approximately 20% of human breast cancers and is implicated in the aggressive growth and poor clinical outcomes associated with these tumors (Slamon et al (1987) Science 235: 177-182).
• HER2 protein overexpression can be determined using an immunohistochemistry based assessment of fixed tumor blocks (Press MF, et al (1993) Cancer Res 53:4960-70).
• Trastuzumab has been shown, in both in vitro assays and in animals, to inhibit the proliferation of human tumor cells that overexpress HER2 (Hudziak et al (1989) Mol Cell Biol 9: 1165-72; Lewis et al (1993) Cancer Immunol Immunother; 37:255-63; Baselga et al (1998) Cancer Res. 58:2825-2831).
• Trastuzumab is a mediator of antibody-dependent cellular cytotoxicity, ADCC (Lewis et al (1993) Cancer Immunol Immunother 37(4):255-263; Hotaling et al (1996) [abstract]. Proc.
• HERCEPTIN® was approved in 1998 for the treatment of patients with HER2-overexpressing metastatic breast cancers (Baselga et al, (1996) J. Clin. Oncol. 14:737-744) that have received extensive prior anti-cancer therapy, and has since been used in over 300,000 patients (Slamon DJ, et al. N Engl J Med 2001;344:783-92; Vogel CL, et al. J Clin Oncol 2002;20:719-26; Marty M, et al. J Clin Oncol
• T-DM1 trastuzumab emtansine
• ado-trastuzumab emtansine trastuzumab emtansine
• KADCYLA® a novel antibody-drug conjugate (ADC) for the treatment of HER2 -positive breast cancer
• ADC antibody-drug conjugate
• DM1 a thiol-containing maytansinoid anti-mi crotubule agent conjugated to trastuzumab at lysine side chains via an MCC linker, with an average drug load (drug to antibody ratio) of about 3.5.
• T-DM1 After binding to HER2 expressed on tumor cells, T-DM1 undergoes receptor-mediated internalization, resulting in intracellular release of cytotoxic catabolites containing DM1 and subsequent cell death.
• Pertuzumab also known as recombinant humanized monoclonal antibody 2C4, rhuMAb 2C4, PERJETA ® , Genentech, Inc, South San Francisco
• HER dimerization inhibitors HDI
• functions to inhibit the ability of HER2 to form active heterodimers or homodimers with other HER receptors such as EGFR/HER1, HER2, HER3 and HER4. See, for example, Harari and Yarden Oncogene 19:6102-14 (2000); Yarden and Sliwkowski.
• Pertuzumab blockade of the formation of HER2-HER 3 heterodimers in tumor cells has been demonstrated to inhibit critical cell signaling, which results in reduced tumor proliferation and survival (Agus et al. Cancer Cell 2: 127-37 (2002)).
• Pertuzumab has been evaluated in Phase II studies in combination with trastuzumab in patients with HER2 -positive metastatic breast cancer who have previously received trastuzumab for metastatic disease.
• Pertuzumab marketed under the tradename PERJETA®, was approved in 2012 for the treatment of patients with advanced or late-stage (metastatic) HER2 -positive breast cancer.
• HER2 -positive breast cancers have increased amounts of the HER2 protein that contributes to cancer cell growth and survival.
• PERJETA® pertuzumab
• EBC early stage breast cancer
• PERJETA® is the first FDA-approved drug for the neoadjuvant treatment of breast cancer.
• the invention provides anti-HER2 antibodies and immunoconjugates and methods of using the same.
• an isolated antibody that binds to HER2 comprises (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 15; (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 16; (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 17; (d) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 12; (e) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 13; and (f) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 14.
• the antibody comprises a heavy chain variable region comprising the sequence of SEQ ID NO: 1 1 and a light chain variable region comprising the sequence of SEQ ID NO: 10.
• the antibody is a monoclonal antibody.
• the antibody is a humanized or chimeric antibody.
• the antibody is an antibody fragment that binds HER2.
• HER2 is human HER2 comprising amino acids 23 to 1255 of SEQ ID NO: 1.
• the antibody binds to extracellular domain I of HER2.
• extracellular domain I of HER2 has the sequence of SEQ ID NO: 35.
• the antibody binds to loop 163-189 and loop 185-189 of extracellular domain I (e.g., a first loop defined by amino acids 163-189 and a second loop defined by amino acids 185-189 of extracellular domain I).
• the antibody contacts Hisl71, Serl86, Serl87 and Glul88 of extracellular domain I.
• the antibody is an IgGl, IgG2a or IgG2b antibody.
• the antibody comprises at least one mutation in the heavy chain constant region selected from Al 18C and S400C.
• the antibody comprises at least one mutation in the light chain constant region selected from K149C and V205C.
• the antibody comprises:
• the antibody comprises the heavy chain constant region of SEQ ID NO: 28. In some embodiments, the antibody comprises the light chain constant region of SEQ ID NO: 25.
• an isolated antibody that binds to HER2 comprises a heavy chain comprising the sequence of SEQ ID NO: 19 and a light chain comprising the sequence of SEQ ID NO: 23.
• an isolated antibody that binds to HER2 is provided, wherein the antibody comprises a heavy chain comprising the sequence of SEQ ID NO: 24 and a light chain comprising the sequence of SEQ ID NO: 18.
• an isolated nucleic acid is provided, which encodes an antibody described herein.
• a host cell comprising the nucleic acid is provided.
• a method of producing an antibody comprising culturing the host cell so that the antibody is produced.
• an immunoconjugate which comprises an antibody described herein and a cytotoxic agent.
• the immunoconjugate has the formula Ab-(L-D)p, wherein:
• Ab is the antibody of any one of claim 1 to 16; b) L is a linker;
• D is a cytotoxic agent
• d) p ranges from 1-8.
• the cytotoxic agent is selected from an auristatin, a maytansinoid, a calicheamicin, a pyrrolobenzodiazepine, a nemorubicin derivative, and a l-(chloromethyl)-2,3-dihydro-lH- benzo[e]indole (CBI).
• an immunoconjugate wherein D is a pyrrolobenzodiazepine of Formul
• R 6 and R 9 are independently selected from H, R, OH, OR, SH, SR, NH 2 , NHR, NRR', NO2, MesSn and halo;
• R 7 is independently selected from H, R, OH, OR, SH, SR, NH 2 , NHR, NRR', NO2, MesSn and halo;
• Q is independently selected from O, S and NH;
• R 11 is either H, or R or, where Q is O, SO3M, where M is a metal cation;
• R and R' are each independently selected from optionally substituted Ci-8 alkyl, C3-8 heterocyclyl and C5-20 aryl groups, and optionally in relation to the group NRR', R and R' together with the nitrogen atom to which they are attached form an optionally substituted 4-, 5-, 6- or 7-membered heterocyclic ring;
• R 12 , R 16 , R 19 and R 17 are as defined for R 2 , R 6 , R 9 and R 7 respectively;
• R" is a C3-12 alkylene group, which chain may be interrupted by one or more heteroatoms and/or aromatic rings that are optionally substituted;
• X and X' are independently selected from O, S and N(H).
• D has the structure:
• n 0 or 1.
• an immunoconjugate wherein D is a nemorubicin derivative.
• D has a structure selected from:
• an immunoconjugate comprising a 1 -(chloromethyl)- 2,3-dihydro-lH-benzo[e]indole (CBI).
• D has the formula:
• R 1 is selected from H, P(0) 3 H 2 , C(0)NR a R b , or a bond to L;
• R 2 is selected from H, P(0) 3 H 2 , C(0)NR a R b , or a bond to L;
• R a and R b are independently selected from H and G-C6 alkyl optionally substituted with more F,
• R a and R b form a five or six membered heterocyclyl group
• T is a tether group selected from C3-C12 alkylene, Y, (C1-C6 alkylene)- Y-(Ci-C6 alkylene), (Ci-Ce alkylene)-Y-(Ci-C 6 alkylene)-Y-(Ci-C 6 alkylene), (C 2 -C 6 alkenylene)-Y-(C 2 -C6 alkenylene), and (C2-C6 alkynylene)-Y-(C2-C6 alkynylene);
• Y is independently selected from O, S, NR 1 , aryl, and heteroaryl;
• alkylene, alkenylene, aryl, and heteroaryl are independently and optionally substituted with F, OH, 0(Ci-Ce alkyl), NH 2 , NHCH3, N(CH 3 ) 2 , OP(0) 3 H 2 , and C1-C5 alkyl, where alkyl is optionally substituted with one or more F;
• alkylene, alkenylene, aryl, and heteroaryl are independently and optionally substituted with a bond to L;
• D' is a drug moiety selected from:
• X 1 and X 2 are independently selected from O and NR 3 , where R 3 is selected from H and Ci alkyl optionally substituted with one or more F;
• R 4 is H, CO2R, or a bond to a linker (L), where R is C1-C6 alkyl or benzyl;
• R 5 is H or Ci-Ce alkyl.
• an immunoconjugate wherein the linker is cleavable by a protease.
• the linker is acid-labile.
• the linker comprises hydrazone.
• the linker comprises a disulfide.
• an immunoconjugate comprising a structure selected from:
• Ab is an antibody described herein.
• p may range from 1.3-2, 1.4-2, 1.5-2, or 2-5.
• a pharmaceutical formulation comprising an immunoconjugate described herein and a pharmaceutically acceptable carrier.
• the pharmaceutical formulation further comprises an additional therapeutic agent.
• the additional therapeutic agent is an antibody or immunoconjugate that binds to HER2.
• the additional therapeutic agent is (i) an antibody or immunoconjugate that binds to domain II of HER2, and/or (ii) an antibody or immunoconjugate that binds to domain IV or HER2.
• the additional therapeutic agent is (i) an antibody or immunoconjugate that binds to epitope 2C4, and/or (ii) an antibody or immunoconjugate that binds to epitope 4D5.
• the additional therapeutic agent is selected from trastuzumab, trastuzumab-MCC-DMl (T-DMl), and pertuzumab.
• the pharmaceutical formulation further comprises (1) trastuzumab or T-DMl , and (2) pertuzumab.
• a method comprises administering to the individual an effective amount of an immunoconjugate described herein, or a pharmaceutical composition described herein.
• the HER2 -positive cancer is breast cancer or gastric cancer.
• the HER2 -positive breast cancer is early-stage breast cancer.
• the HER2 -positive breast cancer is metastatic breast cancer.
• the HER2 -positive cancer is recurrent cancer.
• the recurrent cancer is locally recurrent cancer.
• the HER2- positive cancer is advanced cancer.
• the HER2 -positive cancer is non-resectable.
• the method further comprises administering an additional therapeutic agent to the individual.
• a method of treating an individual having a HER2 -positive cancer comprises administering to the individual an effective amount of an immunoconjugate described herein and at least one additional therapeutic agent to the individual.
• the additional therapeutic agent is an antibody or immunoconjugate that binds to HER2.
• the additional therapeutic agent is (i) an antibody or immunoconjugate that binds to domain II of HER2, and/or (ii) an antibody or immunoconjugate that binds to domain IV or HER2.
• the additional therapeutic agent is (i) an antibody or immunoconjugate that binds to epitope 2C4, and/or (ii) an antibody or immunoconjugate that binds to epitope 4D5.
• the additional therapeutic agent is selected from trastuzumab, trastuzumab-MCC-DMl (T-DMl), and pertuzumab. In some embodiments, the additional therapeutic agents are (1) trastuzumab or T-DMl , and (2) pertuzumab.
• the HER2 -positive cancer is breast cancer or gastric cancer. In some embodiments, the HER2 -positive breast cancer is early-stage breast cancer. In some embodiments, the HER2 -positive breast cancer is metastatic breast cancer. In some embodiments, the HER2 -positive cancer is recurrent cancer. In some embodiments, the recurrent cancer is locally recurrent cancer. In some embodiments, the HER2 -positive cancer is advanced cancer. In some embodiments, the HER2 -positive cancer is non-resectable.
• a method of treating an individual having a HER2 -positive cancer comprises: a) subjecting the individual to neoadjuvant treatment with an immunoconjugate described herein or a pharmaceutical formulation described herein,
• the HER2 -positive cancer is breast cancer or gastric cancer.
• a method comprises exposing the cell to an immunoconjugate described herein under conditions permissive for binding of the immunoconjugate to HER2 on the surface of the cell, thereby inhibiting proliferation of the cell.
• the cell is a breast cancer cell of a gastric cancer cell.
• an antibody described herein conjugated to a label is provided.
• the label is a positron emitter.
• the positron emitter is 89 Zr.
• a method comprises contacting the biological sample with an anti-HER2 antibody described herein under conditions permissive for binding of the anti-HER2 antibody to a naturally occurring human HER2, and detecting whether a complex is formed between the anti-HER2 antibody and a naturally occurring human HER2 in the biological sample.
• the biological sample is a breast cancer or gastric cancer sample.
• a method comprises (i) administering a labeled anti-HER2 antibody to a subject having or suspected of having a HER2 -positive cancer, wherein the labeled anti-HER2 antibody comprises an anti- HER2 antibody described herein, and (ii) detecting the labeled anti-HER2 antibody in the subject, wherein detection of the labeled anti-HER2 antibody indicates a HER2 -positive cancer in the subject.
• the labeled anti-HER2 antibody comprises an anti-HER2 antibody conjugated to a positron emitter.
• the positron emitter is 89 Zr.
• Figure 1 shows an alignment of the human VH subgroup I (VHi) consensus sequence and heavy chain variable region sequences of murine 7C2.B9 (“7C2”) and humanized 7C2.v2.2.LA, as described in Example 1.
• Figure 2 shows an alignment of the human VL kappa IV (VLKIV) consensus sequence and light chain variable region sequences of murine 7C2.B9 (“7C2”) and humanized 7C2.v2.2.LA, as described in Example 1.
• Figure 3 shows the Her2 extracellular domain structure, with domains I to IV indicated, and the domains to which anti-Her2 antibodies trastuzumab, pertuzumab, and 7C2 bind.
• Figure 4 shows change in tumor volume (mm3) over time upon treatment with hu7C2.v2.2.LA antibody-drug conjugates (ADCs), as described in Example 3.
• ADCs hu7C2.v2.2.LA antibody-drug conjugates
• Figure 5 shows change in tumor volume (mm3) over time upon treatment with hu7C2.v2.2.LA antibody-drug conjugates (ADCs), as described in Example 4.
• Figure 6 shows change in tumor volume (mm3) over time upon treatment with hu7C2.v2.2.LA antibody-drug conjugates (ADCs), as described in Example 5.
• ADCs hu7C2.v2.2.LA antibody-drug conjugates
• Figure 7 shows change in tumor volume (mm3) over time upon treatment with hu7C2.v2.2.LA antibody-drug conjugates (ADCs), as described in Example 6.
• Figure 8 shows change in tumor volume (mm3) over time upon treatment with hu7C2.v2.2.LA antibody-drug conjugates (ADCs), as described in Example 7.
• Figures 9 and 10 show an exemplary synthesis method for making certain CB-PBD linker drug intermediates, as described in Example 3.
• Figure 11 shows an exemplary synthesis method for making certain CBI-CBI linker drug intermediates, as described in Example 3.
• Figures 12A-F show the structures for certain antibody-drug conjugates used in the examples herein.
• Figures 13A-B show the pertuzumab main species antibody light chain (A) and heavy chain (B) amino acid sequences.
• Figures 14A-B show exemplary pertuzumab variant species antibody light chain (A) and heavy chain (B) amino acid sequences.
• Figures 15A-B show the trastuzumab antibody light chain (A) and heavy chain (B) amino acid sequences.
• Figure 16 shows a schematic of the Her2 receptor and the sequences for domains I to IV.
• Figure 17 shows change in tumor volume (mm3) over time upon treatment with hu7C2.v2.2.LA antibody-drug conjugates (ADCs), as described in Example 8.
• Figure 18 shows change in tumor volume (mm3) over time upon treatment with hu7C2.v2.2.LA antibody-drug conjugates (ADCs), as described in Example 9.
• Figure 19A-D show (A) crystal structure of the complex between HER2 ECD (surface shaded by domain and shown as a space-filling model) and 7C2 Fab.
• the 7C2 Fab binds to domain I of HER2, which is different from the binding epitopes of the trastuzumab Fab (Tmab, PDB code: 1N8Z) and the pertuzumab Fab (Pmab, PDB code: 1S78).
• trastuzumab/HER2 complex pertuzumab/HER2 complex, and 7C2/HER2 complex.
• C The 7C2/HER2 complex interface. The side chains of the residues involved in the 7C2/HER2 interaction are shown as sticks. Some of the potential intermolecular hydrogen bonds are shown as dashed lines.
• D The 7C2 binding epitope is partially overlapped with the chA21 single-chain Fv (scFv). Superposition of the structure of the chA21 scFv/HER2 complex (PDB code: 3H3B) with the 7C2/HER2 complex.
• an "acceptor human framework” for the purposes herein is a framework comprising the amino acid sequence of a light chain variable domain (VL) framework or a heavy chain variable domain (VH) framework derived from a human immunoglobulin framework or a human consensus framework, as defined below.
• An acceptor human framework "derived from” a human immunoglobulin framework or a human consensus framework may comprise the same amino acid sequence thereof, or it may contain amino acid sequence changes. In some embodiments, the number of amino acid changes are 10 or less, 9 or less, 8 or less, 7 or less, 6 or less, 5 or less, 4 or less, 3 or less, or 2 or less.
• the VL acceptor human framework is identical in sequence to the VL human immunoglobulin framework sequence or human consensus framework sequence.
• Bind refers to the strength of the sum total of noncovalent interactions between a single binding site of a molecule (e.g., an antibody) and its binding partner (e.g., an antigen).
• binding affinity refers to intrinsic binding affinity which reflects a 1 : 1 interaction between members of a binding pair (e.g., antibody and antigen).
• the affinity of a molecule X for its partner Y can generally be represented by the dissociation constant (Kd). Affinity can be measured by common methods known in the art, including those described herein. Specific illustrative and exemplary embodiments for measuring binding affinity are described in the following.
• An "affinity matured” antibody refers to an antibody with one or more alterations in one or more hypervariable regions (HVRs), compared to a parent antibody which does not possess such alterations, such alterations resulting in an improvement in the affinity of the antibody for antigen.
• HVRs hypervariable regions
• anti-HER2 antibody and "an antibody that binds to HER2” refer to an antibody that is capable of binding HER2 with sufficient affinity such that the antibody is useful as a diagnostic and/or therapeutic agent in targeting HER2.
• the extent of binding of an anti-HER2 antibody to an unrelated, non-HER2 protein is less than about 10% of the binding of the antibody to HER2 as measured, e.g., by a radioimmunoassay (RIA).
• an antibody that binds to HER2 has a dissociation constant (Kd) of ⁇ ⁇ ⁇ , ⁇ 100 nM, ⁇ 10 nM, ⁇ 5 nm, ⁇ 4 nM, ⁇ 3 nM, ⁇ 2 nM, ⁇ 1 nM, ⁇ 0.1 nM, ⁇ 0.01 nM, or ⁇ 0.001 nM (e.g, 10 "8 M or less, e.g. from 10 "8 M to 10 "13 M, e.g. , from 10 "9 M to 10 "13 M).
• an anti- HER2 antibody binds to an epitope of HER2 that is conserved among HER2 from different species.
• antibody is used herein in the broadest sense and encompasses various antibody structures, including but not limited to monoclonal antibodies, polyclonal antibodies, multispecific antibodies (e.g., bispecific antibodies), and antibody fragments so long as they exhibit the desired antigen- binding activity.
• antibody fragment refers to a molecule other than an intact antibody that comprises a portion of an intact antibody and that binds the antigen to which the intact antibody binds.
• antibody fragments include but are not limited to Fv, Fab, Fab', Fab'-SH, F(ab')2; diabodies; linear antibodies;
• single-chain antibody molecules e.g. scFv
• multispecific antibodies formed from antibody fragments.
• an "antibody that binds to the same epitope" as a reference antibody refers to an antibody that blocks binding of the reference antibody to its antigen in a competition assay by 50% or more, and conversely, the reference antibody blocks binding of the antibody to its antigen in a competition assay by 50%) or more.
• An exemplary competition assay is provided herein.
• cancer refers to or describe the physiological condition in mammals that is typically characterized by unregulated cell growth/proliferation.
• examples of cancer include, but are not limited to, carcinoma, lymphoma, blastoma, sarcoma, and leukemia.
• the cancer is breast cancer or gastric cancer.
• a cancer is any HER2 -positive cancer.
• a "HER2 -positive" cancer comprises cancer cells which have higher than normal levels of HER2.
• Examples of HER2 -positive cancer include HER2 -positive breast cancer and HER2 -positive gastric cancer.
• HER2 -positive cancer has an immunohistochemistry (IHC) score of 2+ or 3+ and/or an in situ hybridization (ISH) amplification ratio >2.0.
• IHC immunohistochemistry
• ISH in situ hybridization
• EBC early stage breast cancer
• early breast cancer or “early breast cancer” is used herein to refer to breast cancer that has not spread beyond the breast or the axillary lymph nodes. This includes ductal carcinoma in situ and stage I, stage IIA, stage IIB, and stage IIIA breast cancers.
• Reference to a tumor or cancer as a “Stage 0," “Stage I,” “Stage II,” “Stage III,” or “Stage IV”, and various sub-stages within this classification, indicates classification of the tumor or cancer using the Overall Stage Grouping or Roman Numeral Staging methods known in the art.
• a Stage 0 cancer is an in situ lesion
• a Stage I cancer is small localized tumor
• a Stage II and III cancer is a local advanced tumor which exhibits involvement of the local lymph nodes
• a Stage IV cancer represents metastatic cancer.
• the specific stages for each type of tumor is known to the skilled clinician.
• metal breast cancer means the state of breast cancer where the cancer cells are transmitted from the original site to one or more sites elsewhere in the body, by the blood vessels or lymphatics, to form one or more secondary tumors in one or more organs besides the breast.
• An "advanced" cancer is one which has spread outside the site or organ of origin, either by local invasion or metastasis. Accordingly, the term “advanced” cancer includes both locally advanced and metastatic disease.
• a "recurrent" cancer is one which has regrown, either at the initial site or at a distant site, after a response to initial therapy, such as surgery.
• a "locally recurrent" cancer is cancer that returns after treatment in the same place as a previously treated cancer.
• An "operable” or “resectable” cancer is cancer which is confined to the primary organ and suitable for surgery (resection).
• a "non-resectable” or “unresectable” cancer is not able to be removed (resected) by surgery.
• chimeric antibody refers to an antibody in which a portion of the heavy and/or light chain is derived from a particular source or species, while the remainder of the heavy and/or light chain is derived from a different source or species.
• the "class" of an antibody refers to the type of constant domain or constant region possessed by its heavy chain.
• the heavy chain constant domains that correspond to the different classes of immunoglobulins are called ⁇ , ⁇ , ⁇ , ⁇ , and ⁇ , respectively.
• the term "cytotoxic agent” as used herein refers to a substance that inhibits or prevents a cellular function and/or causes cell death or destruction.
• Cytotoxic agents include, but are not limited to, radioactive isotopes (e.g., At 211 , 1 131 , 1 125 , Y 90 , Re 186 , Re 188 , Sm 153 , Bi 212 , P 32 , Pb 212 and radioactive isotopes of Lu); chemotherapeutic agents or drugs (e.g.
• methotrexate methotrexate, adriamicin, vinca alkaloids (vincristine, vinblastine, etoposide), doxorubicin, melphalan, mitomycin C, chlorambucil, daunorubicin or other intercalating agents); growth inhibitory agents; enzymes and fragments thereof such as nucleolytic enzymes; antibiotics; toxins such as small molecule toxins or enzymatically active toxins of bacterial, fungal, plant or animal origin, including fragments and/or variants thereof; and the various antitumor or anticancer agents disclosed below.
• Antibody effector functions refer to those biological activities attributable to the Fc region of an antibody, which vary with the antibody isotype. Examples of antibody effector functions include: Clq binding and complement dependent cytotoxicity (CDC); Fc receptor binding; antibody-dependent cell-mediated cytotoxicity (ADCC); phagocytosis; down regulation of cell surface receptors (e.g. B cell receptor); and B cell activation.
• an "effective amount" of an agent refers to an amount effective, at dosages and for periods of time necessary, to achieve the desired therapeutic or prophylactic result.
• the effective amount of the drug for treating cancer may reduce the number of cancer cells; reduce the tumor size; inhibit (i.e., slow to some extent and preferably stop) cancer cell infiltration into peripheral organs; inhibit (i.e. , slow to some extent and preferably stop) tumor metastasis; inhibit, to some extent, tumor growth; and/or relieve to some extent one or more of the symptoms associated with the cancer.
• the drug may prevent growth and/or kill existing cancer cells, it may be cytostatic and/or cytotoxic.
• the effective amount may extend progression free survival (e.g.
• epitope refers to the particular site on an antigen molecule to which an antibody binds.
• the "epitope 4D5" or “4D5 epitope” or “4D5" is the region in the extracellular domain of HER2 to which the antibody 4D5 (ATCC CRL 10463) and trastuzumab bind. This epitope is close to the transmembrane domain of HER2, and within domain IV of HER2.
• a routine cross-blocking assay such as that described in Antibodies, A Laboratory Manual, Cold Spring Harbor Laboratory, Ed Harlow and David Lane (1988), can be performed.
• epitope mapping can be performed to assess whether the antibody binds to the 4D5 epitope of HER2 (e.g.
• the "epitope 2C4" or "2C4 epitope” is the region in the extracellular domain of HER2 to which the antibody 2C4 binds.
• a routine cross- blocking assay such as that described in Antibodies, A Laboratory Manual, Cold Spring Harbor Laboratory, Ed Harlow and David Lane (1988), can be performed.
• epitope mapping can be performed to assess whether the antibody binds to the 2C4 epitope of HER2.
• Epitope 2C4 comprises residues from domain II in the extracellular domain of HER2.
• the 2C4 antibody and pertuzumab bind to the extracellular domain of HER2 at the junction of domains I, II and III (Franklin et al. Cancer Cell 5:317-328 (2004)).
• Fc region herein is used to define a C-terminal region of an immunoglobulin heavy chain that contains at least a portion of the constant region.
• the term includes native sequence Fc regions and variant Fc regions.
• a human IgG heavy chain Fc region extends from Cys226, or from Pro230, to the carboxyl-terminus of the heavy chain.
• the C-terminal lysine (Lys447) of the Fc region may or may not be present.
• numbering of amino acid residues in the Fc region or constant region is according to the EU numbering system, also called the EU index, as described in Kabat et al., Sequences of Proteins of Immunological Interest, 5th Ed. Public Health Service, National Institutes of Health, Bethesda, MD, 1991.
• FR refers to variable domain residues other than hypervariable region (HVR) residues.
• the FR of a variable domain generally consists of four FR domains: FR1 , FR2, FR3, and FR4. Accordingly, the HVR and FR sequences generally appear in the following sequence in VH (or VL): FR1- H 1 (L 1 )-FR2-H2(L2)-FR3 -H3 (L3)-FR4.
• full length antibody “intact antibody,” and “whole antibody” are used herein interchangeably to refer to an antibody having a structure substantially similar to a native antibody structure or having heavy chains that contain an Fc region as defined herein.
• glycosylated forms of HER2 refers to naturally occurring forms of HER2 that are post- translationally modified by the addition of carbohydrate residues.
• host cell refers to cells into which exogenous nucleic acid has been introduced, including the progeny of such cells.
• Host cells include “transformants” and “transformed cells,” which include the primary transformed cell and progeny derived therefrom without regard to the number of passages. Progeny may not be completely identical in nucleic acid content to a parent cell, but may contain mutations. Mutant progeny that have the same function or biological activity as screened or selected for in the originally transformed cell are included herein.
• a "human antibody” is one which possesses an amino acid sequence which corresponds to that of an antibody produced by a human or a human cell or derived from a non-human source that utilizes human antibody repertoires or other human antibody-encoding sequences. This definition of a human antibody specifically excludes a humanized antibody comprising non-human antigen-binding residues.
• a "human consensus framework” is a framework which represents the most commonly occurring amino acid residues in a selection of human immunoglobulin VL or VH framework sequences.
• the selection of human immunoglobulin VL or VH sequences is from a subgroup of variable domain sequences.
• the subgroup of sequences is a subgroup as in Kabat et al., Sequences of Proteins of Immunological Interest, Fifth Edition, NIH Publication 91-3242, Bethesda MD (1991), vols. 1-3.
• the subgroup is subgroup kappa I as in Kabat et al., supra.
• the subgroup is subgroup III as in Kabat et al., supra.
• a “humanized” antibody refers to a chimeric antibody comprising amino acid residues from non- human HVRs and amino acid residues from human FRs.
• a humanized antibody will comprise substantially all of at least one, and typically two, variable domains, in which all or substantially all of the HVRs ⁇ e.g. , CDRs) correspond to those of a non-human antibody, and all or substantially all of the FRs correspond to those of a human antibody.
• a humanized antibody optionally may comprise at least a portion of an antibody constant region derived from a human antibody.
• a "humanized form" of an antibody, e.g. , a non-human antibody refers to an antibody that has undergone humanization.
• hypervariable region refers to each of the regions of an antibody variable domain which are hypervariable in sequence and/or form structurally defined loops ("hypervariable loops").
• native four-chain antibodies comprise six HVRs; three in the VH (HI , H2, H3), and three in the VL (LI , L2, L3).
• HVRs generally comprise amino acid residues from the hypervariable loops and/or from the "complementarity determining regions" (CDRs), the latter being of highest sequence variability and/or involved in antigen recognition.
• CDRs complementarity determining regions
• Exemplary hypervariable loops occur at amino acid residues 26-32 (LI), 50-52 (L2), 91-96 (L3), 26-32 (HI), 53-55 (H2), and 96-101 (H3).
• Exemplary CDRs CDR-L1 , CDR-L2, CDR-L3, CDR-H1 , CDR-H2, and CDR-H3) occur at amino acid residues 24-34 of LI , 50-56 of L2, 89-97 of L3, 31- 35B of HI , 50-65 of H2, and 95-102 of H3.
• CDRs generally comprise the amino acid residues that form the hypervariable loops.
• CDRs also comprise "specificity determining residues,” or "SDRs,” which are residues that contact antigen. SDRs are contained within regions of the CDRs called abbreviated-CDRs, or a-CDRs.
• Exemplary a-CDRs (a- CDR-L1 , a-CDR-L2, a-CDR-L3, a-CDR-Hl , a-CDR-H2, and a-CDR-H3) occur at amino acid residues 31- 34 of LI , 50-55 of L2, 89-96 of L3, 31-35B of HI , 50-58 ofH2, and 95-102 of H3.
• HVR residues and other residues in the variable domain ⁇ e.g. , FR residues
• An "immunoconjugate” is an antibody conjugated to one or more heterologous molecule(s), including but not limited to a cytotoxic agent.
• a "patient” or “individual” or “subject” is a mammal. Mammals include, but are not limited to, domesticated animals (e.g. , cows, sheep, cats, dogs, and horses), primates (e.g. , humans and non-human primates such as monkeys), rabbits, and rodents (e.g. , mice and rats).
• the patient, individual, or subject is a human.
• the patient may be a "cancer patient," i.e. one who is suffering or at risk for suffering from one or more symptoms of cancer, in particular gastric or breast cancer.
• a "patient population” refers to a group of cancer patients. Such populations can be used to demonstrate statistically significant efficacy and/or safety of a drug.
• a "relapsed" patient is one who has signs or symptoms of cancer after remission.
• the patient has relapsed after adjuvant or neoadjuvant therapy.
• a cancer or biological sample which "displays HER expression, amplification, or activation" is one which, in a diagnostic test, expresses (including overexpresses) a HER receptor, has amplified HER gene, and/or otherwise demonstrates activation or phosphorylation of a HER receptor.
• Neoadjuvant therapy or "preoperative therapy” herein refers to therapy given prior to surgery.
• the goal of neoadjuvant therapy is to provide immediate systemic treatment, potentially eradicating micrometastases that would otherwise proliferate if the standard sequence of surgery followed by systemic therapy were followed.
• Neoadjuvant therapy may also help to reduce tumor size thereby allowing complete resection of initially unresectable tumors or preserving portions of the organ and its functions.
• neoadjuvant therapy permits an in vivo assessment of drug efficacy, which may guide the choice of subsequent treatments.
• adjuvant therapy refers to therapy given after definitive surgery, where no evidence of residual disease can be detected, so as to reduce the risk of disease recurrence.
• the goal of adjuvant therapy is to prevent recurrence of the cancer, and therefore to reduce the chance of cancer-related death.
• Adjuvant therapy herein specifically excludes neoadjuvant therapy.
• Definitive surgery is used as that term is used within the medical community. Definitive surgery includes, for example, procedures, surgical or otherwise, that result in removal or resection of the tumor, including those that result in the removal or resection of all grossly visible tumor. Definitive surgery includes, for example, complete or curative resection or complete gross resection of the tumor. Definitive surgery includes procedures that occur in one or more stages, and includes, for example, multi-stage surgical procedures where one or more surgical or other procedures are performed prior to resection of the tumor. Definitive surgery includes procedures to remove or resect the tumor including involved organs, parts of organs and tissues, as well as surrounding organs, such as lymph nodes, parts of organs, or tissues.
• Removal may be incomplete such that tumor cells might remain even though undetected.
• “Survival” refers to the patient remaining alive, and includes disease free survival (DFS), progression free survival (PFS) and overall survival (OS). Survival can be estimated by the Kaplan-Meier method, and any differences in survival are computed using the stratified log-rank test.
• DFS disease free survival
• PFS progression free survival
• OS overall survival
• PFS progression-Free Survival
• DFS Disease free survival
• Disease free survival refers to the patient remaining alive, without return of the cancer, for a defined period of time such as about 1 year, about 2 years, about 3 years, about 4 years, about 5 years, about 10 years, etc., from initiation of treatment or from initial diagnosis.
• DFS is analyzed according to the intent-to-treat principle, i.e., patients are evaluated on the basis of their assigned therapy.
• the events used in the analysis of DFS can include local, regional and distant recurrence of cancer, occurrence of secondary cancer, and death from any cause in patients without a prior event (e.g, breast cancer recurrence or second primary cancer).
• “Overall survival” refers to the patient remaining alive for a defined period of time, such as about 1 year, about 2 years, about 3 years, about 4 years, about 5 years, about 10 years, etc., from initiation of treatment or from initial diagnosis. In the studies underlying the invention the event used for survival analysis was death from any cause.
• extending survival is meant increasing DFS and/or OS in a treated patient relative to an untreated patient, or relative to a control treatment protocol. Survival is monitored for at least about six months, or at least about 1 year, or at least about 2 years, or at least about 3 years, or at least about 4 years, or at least about 5 years, or at least about 10 years, etc., following the initiation of treatment or following the initial diagnosis.
• “monotherapy” is meant a therapeutic regimen that includes only a single therapeutic agent for the treatment of the cancer or tumor during the course of the treatment period.
• maintenance therapy is meant a therapeutic regimen that is given to reduce the likelihood of disease recurrence or progression.
• Maintenance therapy can be provided for any length of time, including extended time periods up to the life-span of the subject. Maintenance therapy can be provided after initial therapy or in conjunction with initial or additional therapies. Dosages used for maintenance therapy can vary and can include diminished dosages as compared to dosages used for other types of therapy.
• HERCEPTIN® HERCEPTIN®
• huMAb4D5-8 are used interchangeably.
• Such antibody preferably comprises the light and heavy chain amino acid sequences shown in SEQ ID NO: 30 and SEQ ID NO. 29, respectively.
• pertuzumab For the purposes herein, “pertuzumab”, “PERJETA®” and “rhuMAb 2C4", are used interchangeably.
• Such antibody comprises a main species antibody having the light and heavy chain amino acid sequences in SEQ ID NOs: 32 and 31, respectively ( Figure 13A and B).
• pertuzumab comprises a variant species antibody with an amino-terminal leader extension, e.g., comprising a light chain amino acid sequence of SEQ ID NO: 34, and a heavy chain amino acid sequence of SEQ ID NO: 33.
• the antibody is optionally produced by recombinant Chinese Hamster Ovary (CHO) cells.
• T-DM1 As defined herein, the terms "T-DM1 ,” “trastuzumab-MCC-DMl ,” “ado-trastuzumab emtansine,” “trastuzumab emtansine,” and “KADCYLA®” are used interchangeably, and refer to trastuzumab linked through the linker moiety MCC to the maytansinoid drug moiety DM1 , including all mixtures of variously loaded and attached antibody-drug conjugates where 1 , 2, 3, 4, 5, 6, 7, and 8 drug moieties are covalently attached to the antibody trastuzumab (US 7097840; US 8337856; US
• an "isolated antibody” is one which has been separated from a component of its natural environment.
• an antibody is purified to greater than 95% or 99% purity as determined by, for example, electrophoretic (e.g. , SDS-PAGE, isoelectric focusing (IEF), capillary electrophoresis) or chromatographic (e.g. , ion exchange or reverse phase HPLC).
• electrophoretic e.g. , SDS-PAGE, isoelectric focusing (IEF), capillary electrophoresis
• chromatographic e.g. , ion exchange or reverse phase HPLC
• An "isolated nucleic acid” refers to a nucleic acid molecule that has been separated from a component of its natural environment.
• An isolated nucleic acid includes a nucleic acid molecule contained in cells that ordinarily contain the nucleic acid molecule, but the nucleic acid molecule is present extrachromosomally or at a chromosomal location that is different from its natural chromosomal location.
• isolated nucleic acid encoding an anti-HER2 antibody refers to one or more nucleic acid molecules encoding antibody heavy and light chains (or fragments thereof), including such nucleic acid molecule(s) in a single vector or separate vectors, and such nucleic acid molecule(s) present at one or more locations in a host cell.
• HER2 refers to any native, mature HER2 which results from processing of a HER2 precursor protein in a cell.
• the term includes HER2 from any vertebrate source, including mammals such as primates (e.g. humans and cynomolgus monkeys) and rodents (e.g. , mice and rats), unless otherwise indicated.
• the term also includes naturally occurring variants of HER2, e.g. , splice variants or allelic variants.
• the amino acid sequence of an exemplary human HER2 precursor protein, with signal sequence is shown in SEQ ID NO: l .
• the amino acid sequence of an exemplary mature human HER2 is amino acids 23-1255 of SEQ ID NO: 1.
• HER2 -positive cell refers to a cell that expresses HER2 on its surface.
• the term "monoclonal antibody” as used herein refers to an antibody obtained from a population of substantially homogeneous antibodies, i.e., the individual antibodies comprising the population are identical and/or bind the same epitope, except for possible variant antibodies, e.g., containing naturally occurring mutations or arising during production of a monoclonal antibody
• each monoclonal antibody of a monoclonal antibody preparation is directed against a single determinant on an antigen.
• the modifier "monoclonal” indicates the character of the antibody as being obtained from a substantially homogeneous population of antibodies, and is not to be construed as requiring production of the antibody by any particular method.
• the monoclonal antibodies to be used in accordance with the present invention may be made by a variety of techniques, including but not limited to the hybridoma method, recombinant DNA methods, phage-display methods, and methods utilizing transgenic animals containing all or part of the human immunoglobulin loci, such methods and other exemplary methods for making monoclonal antibodies being described herein.
• naked antibody refers to an antibody that is not conjugated to a heterologous moiety
• the naked antibody may be present in a pharmaceutical
• Native antibodies refer to naturally occurring immunoglobulin molecules with varying structures.
• native IgG antibodies are heterotetrameric glycoproteins of about 150,000 daltons, composed of two identical light chains and two identical heavy chains that are disulfide-bonded. From N- to C-terminus, each heavy chain has a variable region (VH), also called a variable heavy domain or a heavy chain variable domain, followed by three constant domains (CHI, CH2, and CH3). Similarly, from N- to C- terminus, each light chain has a variable region (VL), also called a variable light domain or a light chain variable domain, followed by a constant light (CL) domain.
• VH variable region
• VL variable region
• the light chain of an antibody may be assigned to one of two types, called kappa ( ⁇ ) and lambda ( ⁇ ), based on the amino acid sequence of its constant domain.
• a "vial” is a container suitable for holding a liquid or lyophilized preparation.
• the vial is a single-use vial, e.g. a 20-cc single-use vial with a stopper.
• package insert is used to refer to instructions customarily included in commercial packages of therapeutic products, that contain information about the indications, usage, dosage, administration, combination therapy, contraindications and/or warnings concerning the use of such therapeutic products.
• Percent (%) amino acid sequence identity with respect to a reference polypeptide sequence is defined as the percentage of amino acid residues in a candidate sequence that are identical with the amino acid residues in the reference polypeptide sequence, after aligning the sequences and introducing gaps, if necessary, to achieve the maximum percent sequence identity, and not considering any
• % amino acid sequence identity values are generated using the sequence comparison computer program ALIGN-2.
• the ALIGN-2 sequence comparison computer program was authored by Genentech, Inc., and the source code has been filed with user documentation in the U.S. Copyright Office, Washington D.C., 20559, where it is registered under U.S. Copyright Registration No. TXU510087.
• the ALIGN-2 program is publicly available from
• ALIGN-2 program should be compiled for use on a UNIX operating system, including digital UNIX V4.0D. All sequence comparison parameters are set by the ALIGN-2 program and do not vary.
• % amino acid sequence identity of a given amino acid sequence A to, with, or against a given amino acid sequence B is calculated as follows:
• pharmaceutical formulation refers to a preparation which is in such form as to permit the biological activity of an active ingredient contained therein to be effective, and which contains no additional components which are unacceptably toxic to a subject to which the formulation would be administered.
• a "pharmaceutically acceptable carrier” refers to an ingredient in a pharmaceutical formulation, other than an active ingredient, which is nontoxic to a subject.
• a pharmaceutically acceptable carrier includes, but is not limited to, a buffer, excipient, stabilizer, or preservative.
• treatment and grammatical variations thereof such as “treat” or
• treating refers to clinical intervention in an attempt to alter the natural course of the individual being treated, and can be performed either for prophylaxis or during the course of clinical pathology. Desirable effects of treatment include, but are not limited to, preventing occurrence or recurrence of disease, alleviation of symptoms, diminishment of any direct or indirect pathological consequences of the disease, preventing metastasis, decreasing the rate of disease progression, amelioration or palliation of the disease state, and remission or improved prognosis.
• antibodies of the invention are used to delay development of a disease or to slow the progression of a disease.
• co-administering is meant intravenously administering two (or more) drugs during the same administration, rather than sequential infusions of the two or more drugs. Generally, this will involve combining the two (or more) drugs into the same IV bag prior to co-administration thereof.
• a drug that is administered "concurrently" with one or more other drugs is administered during the same treatment cycle, on the same day of treatment as the one or more other drugs, and, optionally, at the same time as the one or more other drugs. For instance, for cancer therapies given every 3 weeks, the concurrently administered drugs are each administered on day-1 of a 3-week cycle.
• a "chemotherapy” is use of a chemotherapeutic agent useful in the treatment of cancer.
• a "chemotherapeutic agent” is a chemical compound useful in the treatment of cancer, regardless of mechanism of action.
• Classes of chemotherapeutic agents include, but are not limited to: alkylating agents, antimetabolites, spindle poison plant alkaloids, cytotoxic/antitumor antibiotics, topoisomerase inhibitors, antibodies, photosensitizers, and kinase inhibitors. Examples of
• chemotherapeutic agents include: anthracyclines, such as epirubicin or doxorubicin (ADRIAMYCIN®), cyclophosphamide (CYTOXAN®, NEOSAR®), anthracycline and cyclophosphamide in combination (“AC”); a taxane, e.g., docetaxel (TAXOTERE®,) or paclitaxel (TAXOL®), 5-FU (fluorouracil, 5- fluorouracil, CAS No. 51-21-8), lapatinib (TYKERB®), capecitabine (XELODA®), gemcitabine
• anthracyclines such as epirubicin or doxorubicin (ADRIAMYCIN®), cyclophosphamide (CYTOXAN®, NEOSAR®), anthracycline and cyclophosphamide in combination (“AC”
• a taxane e.g., docetaxel (
• tamoxifen ((Z)-2-[4-(l,2-diphenylbut-l-enyl)phenoxy]- N,N-dimethyl-ethanamine, NOLVADEX®, ISTUBAL®, VALODEX®).
• chemotherapeutic agents include: oxaliplatin (ELOXATIN®, Sanofi), bortezomib (VELCADE®, Millennium Pharm.), sutent (SUNITINIB®, SU11248, Pfizer), letrozole (FEMAPvA®, Novartis), imatinib mesylate (GLEEVEC®, Novartis), XL-518 (MEK inhibitor, Exelixis, WO 2007/044515), ARRY-886 (Mek inhibitor, AZD6244, Array BioPharma, Astra Zeneca), SF-1126 (PI3K inhibitor, Semafore Pharmaceuticals), BEZ-235 (PI3K inhibitor, Novartis), XL-147 (PI3K inhibitor, Exelixis), PTK787/ZK 222584 (Novartis), fulvestrant (FASLODEX®, AstraZeneca), leucovorin (folinic acid), rapamycin (ELOXATIN®
• ABRAXANETM (Cremophor-free), albumin-engineered nanoparticle formulations of paclitaxel (American Pharmaceutical Partners, Schaumberg, II), vandetanib (rlNN, ZD6474, ZACTIMA®, AstraZeneca), chloranmbucil, AG1478, AG1571 (SU 5271; Sugen), temsirolimus (TORISEL®, Wyeth), pazopanib (GlaxoSmithKline), canfosfamide (TELCYTA®, Telik), thiotepa and cyclosphosphamide (CYTOXAN®, NEOSAR®); alkyl sulfonates such as busulfan, improsulfan and piposulfan; aziridines such as benzodopa, carboquone, meturedopa, and uredopa; ethylenimines and methylamelamines including altretamine, triethylenemelamine, triethylenephospho
• dynemicin dynemicin A
• bisphosphonates such as clodronate
• an esperamicin as well as neocarzinostatin chromophore and related chromoprotein enediyne antibiotic chromophores
• aclacinomysins actinomycin, authramycin, azaserine, bleomycins, cactinomycin, carabicin, carminomycin, carzinophilin, chromomycinis, dactinomycin, daunorubicin, detorubicin, 6-diazo-5-oxo-L-norleucine, morpholino-doxorubicin, cyanomorpholino-doxorubicin, 2-pyrrolino-doxorubicin and deoxydoxorubicin), epirubicin, esorubicin, idarubicin, marcellomycin, mitomycins such as mitomycin C, mycophenolic acid, nogalamycin, olivomycins, peplomycin, porfiromycin, puromycin, quelamycin, rodorubicin, streptonigrin, streptozocin, tubercidin, ubenimex, zinostatin, zorubicin; anti
• gacytosine arabinoside (Ara-C); cyclophosphamide; thiotepa; 6-thioguanine; mercaptopurine;
• methotrexate platinum analogs such as cisplatin and carboplatin; vinblastine; etoposide (VP- 16);
• ifosfamide mitoxantrone; vincristine; vinorelbine (NAVELBINE®); novantrone; teniposide; edatrexate; daunomycin; aminopterin; ibandronate; CPT-11; topoisomerase inhibitor RFS 2000;
• DMFO difluoromethylornithine
• retinoids such as retinoic acid
• pharmaceutically acceptable salts, acids and derivatives of any of the above DMFO
• DMFO difluoromethylornithine
• a “fixed " or “flat” dose of a therapeutic agent herein refers to a dose that is administered to a human patient without regard for the weight (WT) or body surface area (BSA) of the patient.
• the fixed or flat dose is therefore not provided as a mg/kg dose or a mg/m2 dose, but rather as an absolute amount of the therapeutic agent.
• a “loading" dose herein generally comprises an initial dose of a therapeutic agent administered to a patient, and is followed by one or more maintenance dose(s) thereof. Generally, a single loading dose is administered, but multiple loading doses are contemplated herein. Usually, the amount of loading dose(s) administered exceeds the amount of the maintenance dose(s) administered and/or the loading dose(s) are administered more frequently than the maintenance dose(s), so as to achieve the desired steady-state concentration of the therapeutic agent earlier than can be achieved with the maintenance dose(s).
• a “maintenance” dose herein refers to one or more doses of a therapeutic agent administered to the patient over a treatment period. Usually, the maintenance doses are administered at spaced treatment intervals, such as approximately every week, approximately every 2 weeks,
• Intravenous (IV) bag refers to the introduction of a drug-containing solution into the body through a vein for therapeutic purposes. Generally, this is achieved via an intravenous (IV) bag.
• IV bag is a bag that can hold a solution which can be
• the solution is a saline solution (e.g. about 0.9% or about 0.45% NaCl).
• the IV bag is formed from polyolefin or polyvinal chloride.
• variable region refers to the domain of an antibody heavy or light chain that is involved in binding the antibody to antigen.
• the variable domains of the heavy chain and light chain (VH and VL, respectively) of a native antibody generally have similar structures, with each domain comprising four conserved framework regions (FRs) and three hypervariable regions (HVRs).
• FRs conserved framework regions
• HVRs hypervariable regions
• antibodies that bind a particular antigen may be isolated using a VH or VL domain from an antibody that binds the antigen to screen a library of complementary VL or VH domains, respectively. See, e.g. , Portolano et al., J. Immunol. 150:880-887 (1993); Clarkson et al., Nature 352:624-628 (1991).
• vector refers to a nucleic acid molecule capable of propagating another nucleic acid to which it is linked.
• the term includes the vector as a self-replicating nucleic acid structure as well as the vector incorporated into the genome of a host cell into which it has been introduced.
• Certain vectors are capable of directing the expression of nucleic acids to which they are operatively linked. Such vectors are referred to herein as "expression vectors.”
• Alkyl is Ci-Ci8 hydrocarbon containing normal, secondary, tertiary or cyclic carbon atoms. Examples are methyl (Me, -CH3), ethyl (Et, -CH2CH3), 1 -propyl (n-Pr, n-propyl, -CH2CH2CH3),
• Ci-Cs alkyl refers to a straight chain or branched, saturated or unsaturated hydrocarbon having from 1 to 8 carbon atoms.
• Representative “Ci-Cs alkyl” groups include, but are not limited to, -methyl, -ethyl, -n-propyl, -n-butyl, -n-pentyl, -n-hexyl, -n-heptyl, -n-octyl, -n-nonyl and -n-decyl; while branched Ci-Cs alkyls include, but are not limited to, -isopropyl, -sec-butyl, -isobutyl, - tert-butyl, -isopentyl, 2-methylbutyl, unsaturated Ci-Cs alkyls include, but are not limited to, -vinyl, -allyl, - 1-buteny
• Ci-Cs alkyl group can be unsubstituted or substituted with one or more groups including, but not limited to, -Ci-Cs alkyl, -0-(Ci-Cs alkyl), -aryl, -C(0)R', -OC(0)R', -C(0)OR', -C(0)NH 2 , -C(0)NHR', -C(0)N(R')2 -NHC(0)R', -SO3R' , -S(0) 2 R', -S(0)R', -OH, -halogen, -N3, -NH2, -NH(R'), -N(R')2 and -CN; where each R' is independently selected from H, -Ci-Cs alkyl and aryl.
• C1-C12 alkyl refers to a straight chain or branched, saturated or unsaturated hydrocarbon having from 1 to 12 carbon atoms.
• a C1-C12 alkyl group can be unsubstituted or substituted with one or more groups including, but not limited to, -Ci-Cs alkyl, -0-(Ci-Cs alkyl), -aryl, - C(0)R', -OC(0)R', -C(0)OR', -C(0)NH 2 , -C(0)NHR', -C(0)N(R') 2 -NHC(0)R', -SO3R', -S(0) 2 R', - S(0)R', -OH, -halogen, -N3, -NH2, -NH(R'), -N(R')2 and -CN; where each R' is independently selected from H, -Ci-Cs alkyl and aryl.
• C1-C6 alkyl refers to a straight chain or branched, saturated or unsaturated hydrocarbon having from 1 to 6 carbon atoms.
• Representative “C1-C6 alkyl” groups include, but are not limited to, -methyl, -ethyl, -n-propyl, -n-butyl, -n-pentyl, -and n-hexyl; while branched C1-C6 alkyls include, but are not limited to, -isopropyl, -sec-butyl, -isobutyl, -tert-butyl, -isopentyl, and 2- methylbutyl; unsaturated C1-C6 alkyls include, but are not limited to, -vinyl, -allyl, -1-butenyl, -2-butenyl, and -isobutylenyl, -1-pentenyl, -2
• C1-C4 alkyl refers to a straight chain or branched, saturated or unsaturated hydrocarbon having from 1 to 4 carbon atoms.
• Representative “C1-C4 alkyl” groups include, but are not limited to, -methyl, -ethyl, -n-propyl, -n-butyl; while branched C1-C4 alkyls include, but are not limited to, -isopropyl, -sec-butyl, -isobutyl, -tert-butyl; unsaturated C1-C4 alkyls include, but are not limited to, -vinyl, -allyl, -1-butenyl, -2-butenyl, and -isobutylenyl.
• a C1-C4 alkyl group can be unsubstituted or substituted with one or more groups, as described above for Ci-Cs alkyl group.
• Alkoxy is an alkyl group singly bonded to an oxygen.
• exemplary alkoxy groups include, but are not limited to, methoxy (-OCH3) and ethoxy (-OCH2CH3).
• a "C1-C5 alkoxy” is an alkoxy group with 1 to 5 carbon atoms. Alkoxy groups may can be unsubstituted or substituted with one or more groups, as described above for alkyl groups.
• Alkenyl is C2-C18 hydrocarbon containing normal, secondary, tertiary or cyclic carbon atoms with at least one site of unsaturation, i.e. a carbon-carbon, sp 2 double bond.
• a "C2-C8 alkenyl” is a hydrocarbon containing 2 to 8 normal, secondary, tertiary or cyclic carbon atoms with at least one site of unsaturation, i.e. a carbon-carbon, sp 2 double bond.
• Alkynyl is C2-C18 hydrocarbon containing normal, secondary, tertiary or cyclic carbon atoms with at least one site of unsaturation, i.e. a carbon-carbon, sp triple bond. Examples include, but are not limited to: acetylenic (-C ⁇ CH) and propargyl (-CH2C ⁇ CH).
• a "C2-C8 alkynyl” is a hydrocarbon containing 2 to 8 normal, secondary, tertiary or cyclic carbon atoms with at least one site of unsaturation, i.e. a carbon-carbon, sp triple bond.
• Alkylene refers to a saturated, branched or straight chain or cyclic hydrocarbon radical of
• alkylene radicals include, but are not limited to: methylene (-CH2-) 1,2-ethyl (-CH2CH2-), 1,3-propyl (-CH2CH2CH2-), 1,4-butyl (-CH2CH2CH2CH2-), and the like.
• alkenylene refers to an unsaturated, branched or straight chain or cyclic hydrocarbon radical of 2-18 carbon atoms, and having two monovalent radical centers derived by the removal of two hydrogen atoms from the same or two different carbon atoms of a parent alkene.
• Alkynylene refers to an unsaturated, branched or straight chain or cyclic hydrocarbon radical of 2-18 carbon atoms, and having two monovalent radical centers derived by the removal of two hydrogen atoms from the same or two different carbon atoms of a parent alkyne.
• Typical alkynylene radicals include, but are not limited to: acetylene (-C ⁇ C-), propargyl (-CH2C ⁇ C-), and 4-pentynyl
• Aryl refers to a carbocyclic aromatic group.
• aryl groups include, but are not limited to, phenyl, naphthyl and anthracenyl.
• a carbocyclic aromatic group or a heterocyclic aromatic group can be unsubstituted or substituted with one or more groups including, but not limited to, -Ci-Cs alkyl, -0-(Ci-Cs alkyl), -aryl, -C(0)R', -OC(0)R', -C(0)OR' , -C(0)NH 2 , -C(0)NHR', -C(0)N(R')2 - NHC(0)R', -S(0) 2 R' , -S(0)R', -OH, -halogen, -N 3 , -NH2, -NH(R'), -N(R')2 and -CN; wherein each R' is independently selected from H, -Ci-Cs alkyl and aryl
• a "C5-C20 aryl” is an aryl group with 5 to 20 carbon atoms in the carbocyclic aromatic rings. Examples of C5-C20 aryl groups include, but are not limited to, phenyl, naphthyl and anthracenyl. A C5-C20 aryl group can be substituted or unsubstituted as described above for aryl groups.
• a "C5-C14 aryl” is an aryl group with 5 to 14 carbon atoms in the carbocyclic aromatic rings. Examples of C5-C14 aryl groups include, but are not limited to, phenyl, naphthyl and anthracenyl. A C5-C14 aryl group can be substituted or unsubstituted as described above for aryl groups.
• arylene is an aryl group which has two covalent bonds and can be in the ortho, meta, or para configurations as shown in the following structures:
• the phenyl group can be unsubstituted or substituted with up to four groups including, but not limited to, -Ci-Cs alkyl, -0-(Ci-Cs alkyl), -aryl, -C(0)R', -OC(0)R', -C(0)OR', -C(0)NH 2 , -C(0)NHR', - C(0)N(R')2 -NHC(0)R', -S(0) 2 R', -S(0)R', -OH, -halogen, -N 3 , -NH2, -NH(R'), -N(R') 2 and -CN;
• each R' is independently selected from H, -Ci-Cs alkyl and aryl.
• Arylalkyl refers to an acyclic alkyl radical in which one of the hydrogen atoms bonded to a carbon atom, typically a terminal or sp 3 carbon atom, is replaced with an aryl radical.
• Typical arylalkyl groups include, but are not limited to, benzyl, 2-phenylethan-l-yl, 2-phenylethen-l-yl, naphthylmethyl, 2- naphthylethan-l-yl, 2-naphthylethen-l-yl, naphthobenzyl, 2-naphthophenylethan- 1 -yl and the like.
• the arylalkyl group comprises 6 to 20 carbon atoms, e.g. the alkyl moiety, including alkanyl, alkenyl or alkynyl groups, of the arylalkyl group is 1 to 6 carbon atoms and the aryl moiety is 5 to 14 carbon atoms.
• Heteroarylalkyl refers to an acyclic alkyl radical in which one of the hydrogen atoms bonded to a carbon atom, typically a terminal or sp 3 carbon atom, is replaced with a heteroaryl radical.
• Typical heteroarylalkyl groups include, but are not limited to, 2-benzimidazolylmethyl, 2-furylethyl, and the like.
• the heteroarylalkyl group comprises 6 to 20 carbon atoms, e.g.
• the alkyl moiety, including alkanyl, alkenyl or alkynyl groups, of the heteroarylalkyl group is 1 to 6 carbon atoms and the heteroaryl moiety is 5 to 14 carbon atoms and 1 to 3 heteroatoms selected from N, O, P, and S.
• the heteroaryl moiety of the heteroarylalkyl group may be a monocycle having 3 to 7 ring members (2 to 6 carbon atoms or a bicycle having 7 to 10 ring members (4 to 9 carbon atoms and 1 to 3 heteroatoms selected from N, O, P, and S), for example: a bicyclo [4,5], [5,5], [5,6], or [6,6] system.
• Substituted alkyl means alkyl, aryl, and arylalkyl respectively, in which one or more hydrogen atoms are each independently replaced with a substituent.
• each X is independently a halogen: F, CI, Br, or I; and each R is independently -H, C 2 -Cis alkyl, C6-C 2 o aryl, C3-C14 heterocycle, protecting group or prodrug moiety.
• Alkylene, alkenylene, and alkynylene groups as described above may also be similarly substituted.
• Heteroaryl and “heterocycle” refer to a ring system in which one or more ring atoms is a heteroatom, e.g. nitrogen, oxygen, and sulfur.
• the heterocycle radical comprises 3 to 20 carbon atoms and 1 to 3 heteroatoms selected from N, O, P, and S.
• a heterocycle may be a monocycle having 3 to 7 ring members (2 to 6 carbon atoms and 1 to 3 heteroatoms selected from N, O, P, and S) or a bicycle having 7 to 10 ring members (4 to 9 carbon atoms and 1 to 3 heteroatoms selected from N, O, P, and S), for example: a bicyclo [4,5], [5,5], [5,6], or [6,6] system.
• heterocycles include by way of example and not limitation pyridyl, dihydroypyridyl, tetrahydropyridyl (piperidyl), thiazolyl, tetrahydrothiophenyl, sulfur oxidized
• carbon bonded heterocycles include 2-pyridyl, 3-pyridyl, 4-pyridyl, 5-pyridyl, 6-pyridyl, 3- pyridazinyl, 4-pyridazinyl, 5-pyridazinyl, 6-pyridazinyl, 2-pyrimidinyl, 4-pyrimidinyl, 5-pyrimidinyl, 6- pyrimidinyl, 2-pyrazinyl, 3-pyrazinyl, 5-pyrazinyl, 6-pyrazinyl, 2-thiazolyl, 4-thiazolyl, or 5-thiazolyl.
• nitrogen bonded heterocycles include 1-aziridyl, 1- azetedyl, 1-pyrrolyl, 1 -imidazolyl, 1-pyrazolyl, and 1-piperidinyl.
• C3-C8 heterocycle refers to an aromatic or non-aromatic C3-C8 carbocycle in which one to four of the ring carbon atoms are independently replaced with a heteroatom from the group consisting of O, S and N.
• C3-C8 heterocycle examples include, but are not limited to, benzofuranyl, benzothiophene, indolyl, benzopyrazolyl, coumarinyl, isoquinolinyl, pyrrolyl, thiophenyl, furanyl, thiazolyl, imidazolyl, pyrazolyl, triazolyl, quinolinyl, pyrimidinyl, pyridinyl, pyridonyl, pyrazinyl, pyridazinyl, isothiazolyl, isoxazolyl and tetrazolyl.
• a C3-C8 heterocycle can be unsubstituted or substituted with up to seven groups including, but not limited to, -Ci-Cs alkyl, -0-(Ci-Cs alkyl), -aryl, -C(0)R', - OC(0)R', -C(0)OR', -C(0)NH 2 , -C(0)NHR', -C(0)N(R')2 -NHC(0)R', -S(0) 2 R', -S(0)R', -OH, - halogen, -N3, -NH2, -NH(R'), -N(R')2 and -CN; wherein each R' is independently selected from H, -Ci-Cs alkyl and aryl.
• C3-C8 heterocyclo refers to a C3-C8 heterocycle group defined above wherein one of the heterocycle group's hydrogen atoms is replaced with a bond.
• a C3-C8 heterocyclo can be unsubstituted or substituted with up to six groups including, but not limited to, -Ci-Cs alkyl, -0-(Ci-Cs alkyl), -aryl, - C(0)R', -OC(0)R', -C(0)OR', -C(0)NH 2 , -C(0)NHR', -C(0)N(R') 2 -NHC(0)R', -S(0) 2 R', -S(0)R', - OH, -halogen, -N3, -NH 2 , -NH(R'), -N(R') 2 and -CN; wherein each R' is independently selected from H, - Ci-Cs alkyl and aryl.
• C3-C 2 o heterocycle refers to an aromatic or non-aromatic C3-C8 carbocycle in which one to four of the ring carbon atoms are independently replaced with a heteroatom from the group consisting of O, S and N.
• a C3-C 2 o heterocycle can be unsubstituted or substituted with up to seven groups including, but not limited to, -Ci-Cs alkyl, -0-(Ci-Cs alkyl), -aryl, -C(0)R', -OC(0)R', -C(0)OR', - C(0)NH 2 , -C(0)NHR', -C(0)N(R')2 -NHC(0)R', -S(0) 2 R', -S(0)R', -OH, -halogen, -N 3 , -NH 2 , -NH(R'), -N(R') 2 and -CN; wherein each R' is independently selected from H, -Ci-Cs alkyl and aryl.
• C3-C20 heterocyclo refers to a C3-C20 heterocycle group defined above wherein one of the heterocycle group's hydrogen atoms is replaced with a bond.
• Carbocycle means a saturated or unsaturated ring having 3 to 7 carbon atoms as a monocycle or 7 to 12 carbon atoms as a bicycle.
• Monocyclic carbocycles have 3 to 6 ring atoms, still more typically 5 or 6 ring atoms.
• Bicyclic carbocycles have 7 to 12 ring atoms, e.g. arranged as a bicyclo [4,5], [5,5], [5,6] or [6,6] system, or 9 or 10 ring atoms arranged as a bicyclo [5,6] or [6,6] system.
• Examples of monocyclic carbocycles include cyclopropyl, cyclobutyl, cyclopentyl, 1 -cyclopent- 1 -enyl, 1 -cyclopent-2- enyl, l-cyclopent-3-enyl, cyclohexyl, 1-cyclohex-l-enyl, l-cyclohex-2-enyl, l-cyclohex-3-enyl, cycloheptyl, and cyclooctyl.
• a "C3-C8 carbocycle” is a 3-, 4-, 5-, 6-, 7- or 8-membered saturated or unsaturated non- aromatic carbocyclic ring.
• Representative C3-C8 carbocycles include, but are not limited to, -cyclopropyl, - cyclobutyl, -cyclopentyl, -cyclopentadienyl, -cyclohexyl, -cyclohexenyl, -1 ,3-cyclohexadienyl, -1 ,4- cyclohexadienyl, -cycloheptyl, -1 ,3-cycloheptadienyl, -1 ,3,5-cycloheptatrienyl, -cyclooctyl, and - cyclooctadienyl.
• a C3-C8 carbocycle group can be unsubstituted or substituted with one or more groups including, but not limited to, -Ci-Cs alkyl, -0-(Ci-Cs alkyl), -aryl, -C(0)R', -OC(0)R', -C(0)OR', - C(0)NH 2 , -C(0)NHR', -C(0)N(R')2 -NHC(0)R', -S(0) 2 R', -S(0)R', -OH, -halogen, -N 3 , -NH2, -NH(R'), -N(R')2 and -CN; where each R' is independently selected from H, -Ci-Cs alkyl and aryl.
• C3-C8 carbocyclo refers to a C3-C8 carbocycle group defined above wherein one of the carbocycle groups' hydrogen atoms is replaced with a bond.
• Linker refers to a chemical moiety comprising a covalent bond or a chain of atoms that covalently attaches an antibody to a drug moiety.
• linkers include a divalent radical such as an alkyldiyl, an aryldiyl, a heteroaryldiyl, moieties such as: -(CR2)nO(CR2)n-, repeating units of alkyloxy (e.g. polyethylenoxy, PEG, polymethyleneoxy) and alkylamino (e.g. polyethyleneamino,
• linkers can comprise one or more amino acid residues, such as valine, phenylalanine, lysine, and homolysine.
• stereoisomers refers to compounds which have identical chemical constitution, but differ with regard to the arrangement of the atoms or groups in space.
• Diastereomer refers to a stereoisomer with two or more centers of chirality and whose molecules are not mirror images of one another. Diastereomers have different physical properties, e.g. melting points, boiling points, spectral properties, and reactivities. Mixtures of diastereomers may separate under high resolution analytical procedures such as electrophoresis and chromatography.
• Enantiomers refer to two stereoisomers of a compound which are non-superimposable mirror images of one another.
• a compound prefixed with (+) or d is dextrorotatory.
• these stereoisomers are identical except that they are mirror images of one another.
• a specific stereoisomer may also be referred to as an enantiomer, and a mixture of such isomers is often called an enantiomeric mixture.
• a 50:50 mixture of enantiomers is referred to as a racemic mixture or a racemate, which may occur where there has been no stereoselection or stereospecificity in a chemical reaction or process.
• the terms “racemic mixture” and “racemate” refer to an equimolar mixture of two enantiomeric species, devoid of optical activity.
• leaving group refers to a functional group that can be substituted by another functional group. Certain leaving groups are well known in the art, and examples include, but are not limited to, a halide ⁇ e.g., chloride, bromide, iodide), methanesulfonyl (mesyl), p-toluenesulfonyl (tosyl),
• triflate triflate
• trifluoromethylsulfonate trifluoromethylsulfonate
• protecting group refers to a substituent that is commonly employed to block or protect a particular functionality while reacting other functional groups on the compound.
• an "amino-protecting group” is a substituent attached to an amino group that blocks or protects the amino functionality in the compound.
• Suitable amino-protecting groups include, but are not limited to, acetyl, trifluoroacetyl, t-butoxycarbonyl (BOC), benzyloxycarbonyl (CBZ) and 9-fluorenylmethylenoxycarbonyl (Fmoc).
• the invention is based, in part, on antibodies that bind to HER2 and immunoconjugates comprising such antibodies.
• Antibodies and immunoconjugates of the invention are useful, e.g., for the diagnosis or treatment of HER2 -positive cancers.
• the antibodies do not interfere with trastuzumab and/or pertuzumab binding to HER2. In some embodiments, the antibodies do not interfere with trastuzumab binding to HER2 and do not interfere with pertuzumab binding to HER2. In any of the embodiments described herein, the antibodies may be monoclonal antibodies. In some embodiments, the antibodies may be human antibodies, humanized antibodies, or chimeric antibodies.
• An exemplary naturally occurring human HER2 precursor protein sequence, with signal sequence (amino acids 1-22) is provided in SEQ ID NO: 1, and the corresponding mature HER2 protein sequence corresponds to amino acids 23-1255 of SEQ ID NO: 1.
• domain I of HER2 has the amino acid sequence of SEQ ID NO: 35
• domain II has the amino acid sequence of SEQ ID NO: 36
• domain III has the amino acid sequence of SEQ ID NO: 37
• domain IV has the amino acid sequence of SEQ ID NO: 38 (see Figure 16).
• the invention provides an anti-HER2 antibody comprising at least one, two, three, four, five, or six HVRs selected from (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 15; (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 16; (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 17; (d) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 12; (e) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 13; and (f) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 14.
• the invention provides an anti-HER2 antibody comprising an HVR-H2 comprising the amino acid sequence of SEQ ID NO: 16 and at least one, two, three, four, or five HVRs selected from (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 15; (b) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 17; (c) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 12; (d) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 13; and (e) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 14.
• the invention provides an antibody comprising at least one, at least two, or all three VH HVR sequences selected from (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 15; (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 16; and (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 17.
• the antibody comprises HVR-H3 comprising the amino acid sequence of SEQ ID NO: 17.
• the antibody comprises HVR-H2 comprising the amino acid sequence of SEQ ID NO: 16.
• the antibody comprises HVR-H3 comprising the amino acid sequence of SEQ ID NO: 17 and HVR-L3 comprising the amino acid sequence of SEQ ID NO: 14.
• the antibody comprises HVR-H3 comprising the amino acid sequence of SEQ ID NO: 17, HVR-L3 comprising the amino acid sequence of SEQ ID NO: 14, and HVR-H2 comprising the amino acid sequence of SEQ ID NO: 16.
• the antibody comprises (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 15; (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 16; and (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 17.
• the invention provides an antibody comprising at least one, at least two, or all three VL HVR sequences selected from (a) HVR-Ll comprising the amino acid sequence of SEQ ID NO: 12; (b) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 13; and (c) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 14.
• the antibody comprises (a) HVR-Ll comprising the amino acid sequence of SEQ ID NO: 12; (b) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 13; and (c) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 14.
• an antibody of the invention comprises (a) a VH domain comprising at least one, at least two, or all three VH HVR sequences selected from (i) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 15, (ii) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 16, and (iii) HVR-H3 comprising an amino acid sequence selected from SEQ ID NO: 17; and (b) a VL domain comprising at least one, at least two, or all three VL HVR sequences selected from (i) HVR-Ll comprising the amino acid sequence of SEQ ID NO: 12, (ii) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 13, and (c) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 14.
• the invention provides an antibody comprising (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 15; (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 16; (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 17; (d) HVR-Ll comprising the amino acid sequence of SEQ ID NO: 12; (e) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 13; and (f) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 14.
• an anti-HER2 antibody is humanized. In one of the above embodiments, an anti-HER2 antibody is humanized.
• an anti-HER2 antibody comprises HVRs as in any of the above embodiments, and further comprises a human acceptor framework, e.g. a human immunoglobulin framework or a human consensus framework.
• the human acceptor framework is the human VL kappa IV consensus (VLKIV) framework and/or the VH framework VHi.
• the human acceptor framework is the human VL kappa IV consensus (VLKIV) framework and/or the VH framework VHi comprising any one of the mutations described herein.
• an anti-HER2 antibody comprises a heavy chain variable domain (VH) sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence of SEQ ID NO: 1 1.
• VH heavy chain variable domain
• a VH sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% identity to the amino acid sequence of SEQ ID NO: l 1 contains substitutions ⁇ e.g., conservative substitutions), insertions, or deletions relative to the reference sequence, but an anti-HER2 antibody comprising that sequence retains the ability to bind to HER2.
• the anti- HER2 antibody comprises the VH sequence of SEQ ID NO: 11, including post-translational modifications of that sequence.
• the VH comprises one, two or three HVRs selected from: (a) HVR-Hl comprising the amino acid sequence of SEQ ID NO: 15, (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 16, and (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 17.
• an anti-HER2 antibody comprising a light chain variable domain (VL) having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) sequence identity to the amino acid sequence of SEQ ID NO: 10.
• VL light chain variable domain
• a VL sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% identity to the amino acid sequence of SEQ ID NO: 10 contains substitutions ⁇ e.g., conservative substitutions), insertions, or deletions relative to the reference sequence, but an anti-HER2 antibody comprising that sequence retains the ability to bind to HER2.
• the anti-HER2 antibody comprises the VL sequence of SEQ ID NO: 10, including post-translational modifications of that sequence.
• the VL comprises one, two or three HVRs selected from (a) HVR- Ll comprising the amino acid sequence of SEQ ID NO: 12; (b) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 13; and (c) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 14.
• an anti-HER2 antibody comprising a
• VH as in any of the embodiments provided above
• VL as in any of the embodiments provided above
• the antibody comprises the VH and VL sequences in SEQ ID NO: 11 and SEQ ID NO: 10, respectively, including post-translational modifications of those sequences.
• antibodies that bind to the same epitope as an anti-HER2 antibody provided herein.
• an antibody that binds to the same epitope as an anti-HER2 antibody comprising a VH sequence of SEQ ID NO: 11 and a VL sequence of SEQ ID NO: 10, respectively.
• an anti-HER2 antibody comprises a heavy chain sequence having at least
• a heavy chain sequence having at least 90%), 91%), 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% identity to the amino acid sequence of SEQ ID NO: 19 contains substitutions (e.g. , conservative substitutions), insertions, or deletions relative to the reference sequence, but an anti-HER2 antibody comprising that sequence retains the ability to bind to HER2.
• a total of 1 to 10 amino acids have been substituted, inserted and/or deleted in SEQ ID NO: 19.
• the anti- HER2 antibody comprises the heavy chain sequence of SEQ ID NO: 19, including post-translational modifications of that sequence.
• the heavy chain comprises one, two or three HVRs selected from: (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 15, (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO: 16, and (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO: 17.
• an anti-HER2 antibody comprising a light chain having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence of SEQ ID NO: 18.
• a light chain sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% identity to the amino acid sequence of SEQ ID NO: 18 contains substitutions (e.g. , conservative substitutions), insertions, or deletions relative to the reference sequence, but an anti-HER2 antibody comprising that sequence retains the ability to bind to HER2.
• the anti-HER2 antibody comprises the light chain sequence of SEQ ID NO: 18, including post-translational modifications of that sequence.
• the light chain comprises one, two or three HVRs selected from (a) HVR-L1 comprising the amino acid sequence of SEQ ID NO: 12; (b) HVR-L2 comprising the amino acid sequence of SEQ ID NO: 13; and (c) HVR-L3 comprising the amino acid sequence of SEQ ID NO: 14.
• an anti-HER2 antibody comprises a heavy chain as in any of the embodiments provided above, and a light chain as in any of the embodiments provided above.
• the antibody comprises the heavy chain and light chain sequences in
• antibodies that bind to the same epitope as an anti-HER2 antibody provided herein.
• an antibody that binds to the same epitope as an anti-HER2 antibody comprising a heavy chain sequence of SEQ ID NO: 19 and a light chain sequence of SEQ ID NO: 18, respectively.
• antibodies comprising a light chain variable domain comprising the
• the antibody comprises a light chain variable domain comprising the HVRl-LC, HVR2-LC and/or HVR3-LC sequence, and the FR1-LC, FR2- LC, FR3-LC and/or FR4-LC sequence as depicted in Figure 1.
• the antibody comprises a heavy chain variable domain comprising the HVRl-HC, HVR2-HC and/or HVR3-HC sequence, and the FR1-HC, FR2-HC, FR3-HC and/or FR4-HC sequence as depicted in Figure 2.
• an anti-HER2 antibody is a monoclonal antibody, including a human antibody.
• an anti-HER2 antibody is an antibody fragment, e.g. , a Fv, Fab, Fab', scFv, diabody, or F(ab')2 fragment.
• the antibody is a substantially full length antibody, e.g. , an IgGl antibody, IgG2a antibody or other antibody class or isotype as defined herein.
• an anti-HER2 antibody may incorporate any of the features, singly or in combination, as described below.
• an antibody provided herein has a dissociation constant (Kd) of
• Kd is measured by a radiolabeled antigen binding assay (RIA) performed with the Fab version of an antibody of interest and its antigen as described by the following assay.
• Solution binding affinity of Fabs for antigen is measured by equilibrating Fab with a minimal concentration of ( 125 I)-labeled antigen in the presence of a titration series of unlabeled antigen, then capturing bound antigen with an anti-Fab antibody-coated plate ⁇ see, e.g. , Chen et al., J. Mol. Biol.
• MICROTITER ® multi-well plates (Thermo Scientific) are coated overnight with 5 ⁇ g/ml of a capturing anti-Fab antibody (Cappel Labs) in 50 mM sodium carbonate (pH 9.6), and subsequently blocked with 2% (w/v) bovine serum albumin in PBS for two to five hours at room temperature (approximately 23°C).
• a non-adsorbent plate (Nunc #269620)
• 100 pM or 26 pM [ 125 I]-antigen are mixed with serial dilutions of a Fab of interest ⁇ e.g.
• Fab-12 in Presta et al., Cancer Res. 57:4593-4599 (1997)).
• the Fab of interest is then incubated overnight; however, the incubation may continue for a longer period ⁇ e.g. , about 65 hours) to ensure that equilibrium is reached. Thereafter, the mixtures are transferred to the capture plate for incubation at room temperature (e.g., for one hour). The solution is then removed and the plate washed eight times with 0.1% polysorbate 20 (TWEEN-20 ® ) in PBS.
• Kd is measured using surface plasmon resonance assays using a BIACORE ® -2000 or a BIACORE ® -3000 (BIAcore, Inc., Piscataway, NJ) at 25°C with
• CM5 chips immobilized antigen CM5 chips at -10 response units (RU).
• carboxymethylated dextran biosensor chips CM5, BIACORE, Inc.
• EDC N-ethyl-N'- (3-dimethylaminopropyl)-carbodiimide hydrochloride
• NHS N-hydroxysuccinimide
• Antigen is diluted with 10 mM sodium acetate, pH 4.8, to 5 ⁇ g/ml (-0.2 ⁇ ) before injection at a flow rate of 5 ⁇ /minute to achieve approximately 10 response units (RU) of coupled protein.
• 1 M ethanolamine is injected to block unreacted groups.
• an antibody provided herein is an antibody fragment.
• Antibody fragments include, but are not limited to, Fab, Fab', Fab'-SH, F(ab')2, Fv, and scFv fragments, and other fragments described below.
• Fab fragment antigen
• Fab' fragment antigen binding domain
• Patent Nos. 5,571,894 and 5,587,458 For discussion of Fab and F(ab')2 fragments comprising salvage receptor binding epitope residues and having increased in vivo half-life, see U.S. Patent No. 5,869,046.
• Diabodies are antibody fragments with two antigen-binding sites that may be bivalent or bispecific. See, for example, EP 404,097; WO 1993/01 161 ; Hudson et al., Nat. Med. 9: 129-134 (2003); and Hollinger et al., Proc. Natl. Acad. Sci. USA 90: 6444-6448 (1993). Triabodies and tetrabodies are also described in Hudson et al., Nat. Med. 9: 129-134 (2003).
• Single-domain antibodies are antibody fragments comprising all or a portion of the heavy chain variable domain or all or a portion of the light chain variable domain of an antibody.
• a single-domain antibody is a human single-domain antibody (Domantis, Inc., Waltham, MA; see, e.g. , U.S. Patent No. 6,248,516 B l).
• Antibody fragments can be made by various techniques, including but not limited to proteolytic digestion of an intact antibody as well as production by recombinant host cells (e.g. E. coli or phage), as described herein.
• recombinant host cells e.g. E. coli or phage
• an antibody provided herein is a chimeric antibody.
• Certain chimeric antibodies are described, e.g. , in U.S. Patent No. 4,816,567; and Morrison et al., Proc. Natl. Acad. Sci. USA, 81 :6851-6855 (1984)).
• a chimeric antibody comprises a non-human variable region (e.g. , a variable region derived from a mouse, rat, hamster, rabbit, or non-human primate, such as a monkey) and a human constant region.
• a chimeric antibody is a "class switched" antibody in which the class or subclass has been changed from that of the parent antibody. Chimeric antibodies include antigen-binding fragments thereof.
• a chimeric antibody is a humanized antibody.
• a non- human antibody is humanized to reduce immunogenicity to humans, while retaining the specificity and affinity of the parental non-human antibody.
• a humanized antibody comprises one or more variable domains in which HVRs, e.g. , CDRs, (or portions thereof) are derived from a non-human antibody, and FRs (or portions thereof) are derived from human antibody sequences.
• a humanized antibody optionally will also comprise at least a portion of a human constant region.
• some FR residues in a humanized antibody are substituted with corresponding residues from a non-human antibody (e.g. , the antibody from which the HVR residues are derived), e.g. , to restore or improve antibody specificity or affinity.
• Human framework regions that may be used for humanization include but are not limited to: framework regions selected using the "best- fit" method ⁇ see, e.g., Sims et al. J. Immunol. 151 :2296 (1993)); framework regions derived from the consensus sequence of human antibodies of a particular subgroup of light or heavy chain variable regions ⁇ see, e.g., Carter et al. Proc. Natl. Acad. Set USA, 89:4285 (1992); and Presta et al. J. Immunol, 151 :2623 (1993)); human mature (somatically mutated) framework regions or human germline framework regions ⁇ see, e.g., Almagro and Fransson, Front.
• an antibody provided herein is a human antibody.
• Human antibodies can be produced using various techniques known in the art. Human antibodies are described generally in van Dijk and van de Winkel, Curr. Opin. Pharmacol. 5: 368-74 (2001) and Lonberg, Curr. Opin. Immunol. 20:450-459 (2008).
• Human antibodies may be prepared by administering an immunogen to a transgenic animal that has been modified to produce intact human antibodies or intact antibodies with human variable regions in response to antigenic challenge. Such animals typically contain all or a portion of the human
• Human variable regions from intact antibodies generated by such animals may be further modified, e.g., by combining with a different human constant region.
• Human antibodies can also be made by hybridoma-based methods. Human myeloma and mouse-human heteromyeloma cell lines for the production of human monoclonal antibodies have been described. ⁇ See, e.g., Kozbor J. Immunol, 133 : 3001 (1984); Brodeur et al., Monoclonal Antibody
• Trioma technology Human hybridoma technology (Trioma technology) is also described in Vollmers and Brandlein, Histology and Histopathology , 20(3):927-937 (2005) and Vollmers and Brandlein, Methods and Findings in Experimental and Clinical Pharmacology, 27(3): 185-91 (2005).
• Human antibodies may also be generated by isolating Fv clone variable domain sequences selected from human-derived phage display libraries. Such variable domain sequences may then be combined with a desired human constant domain. Techniques for selecting human antibodies from antibody libraries are described below.
• Antibodies of the invention may be isolated by screening combinatorial libraries for antibodies with the desired activity or activities. For example, a variety of methods are known in the art for generating phage display libraries and screening such libraries for antibodies possessing the desired binding characteristics. Such methods are reviewed, e.g., in Hoogenboom et al. in Methods in Molecular Biology 178: 1-37 (O'Brien et al., ed., Human Press, Totowa, NJ, 2001) and further described, e.g., in the
• phage display methods repertoires of VH and VL genes are separately cloned by polymerase chain reaction (PCR) and recombined randomly in phage libraries, which can then be screened for antigen-binding phage as described in Winter et al., Ann. Rev. Immunol., 12: 433-455 (1994). Phage typically display antibody fragments, either as single-chain Fv (scFv) fragments or as Fab fragments. Libraries from immunized sources provide high-affinity antibodies to the immunogen without the requirement of constructing hybridomas.
• PCR polymerase chain reaction
• naive repertoire can be cloned ⁇ e.g., from human) to provide a single source of antibodies to a wide range of non-self and also self antigens without any immunization as described by Griffiths et al., EMBO J, 12: 725-734 (1993).
• naive libraries can also be made synthetically by cloning unrearranged V-gene segments from stem cells, and using PCR primers containing random sequence to encode the highly variable CDR3 regions and to accomplish rearrangement in vitro, as described by Hoogenboom and Winter, J. Mol. Biol, 227: 381-388 (1992).
• Patent publications describing human antibody phage libraries include, for example: US Patent No. 5,750,373, and US Patent Publication Nos. 2005/0079574, 2005/0119455, 2005/0266000, 2007/0117126, 2007/0160598, 2007/0237764, 2007/0292936, and 2009/0002360.
• Antibodies or antibody fragments isolated from human antibody libraries are considered human antibodies or human antibody fragments herein.
• an antibody provided herein is a multispecific antibody, e.g. a bispecific antibody.
• Multispecific antibodies are monoclonal antibodies that have binding specificities for at least two different sites.
• one of the binding specificities is for HER2 and the other is for any other antigen.
• one of the binding specificities is for HER2 and the other is for CD3. See, e.g., U.S. Patent No. 5,821,337.
• bispecific antibodies may bind to two different epitopes of HER2.
• Bispecific antibodies may also be used to localize cytotoxic agents to cells which express HER2.
• Bispecific antibodies can be prepared as full length antibodies or antibody fragments.
• Techniques for making multispecific antibodies include, but are not limited to, recombinant co-expression of two immunoglobulin heavy chain-light chain pairs having different specificities (see Milstein and Cuello, Nature 305: 537 (1983)), WO 93/08829, and Traunecker et al., EMBO J. 10: 3655 (1991)), and "knob-in-hole” engineering (see, e.g., U.S. Patent No. 5,731,168).
• KnH knock-into-hole
• a protuberance for example, a protuberance into one polypeptide and a cavity (hole) into the other polypeptide at an interface in which they interact.
• KnHs have been introduced in the Fc:Fc binding interfaces, CL:CH1 interfaces or VH/VL interfaces of antibodies (see, e.g., US 2011/0287009, US2007/0178552, WO 96/027011, WO 98/050431, Zhu et al., 1997, Protein Science 6:781- 788, and WO2012/106587).
• KnHs drive the pairing of two different heavy chains together during the manufacture of multispecific antibodies.
• multispecific antibodies having KnH in their Fc regions can further comprise single variable domains linked to each Fc region, or further comprise different heavy chain variable domains that pair with similar or different light chain variable domains.
• KnH technology can be also be used to pair two different receptor extracellular domains together or any other polypeptide sequences that comprises different target recognition sequences (e.g., including affibodies, peptibodies and other Fc fusions).
• knock mutation refers to a mutation that introduces a protuberance
• the other polypeptide has a hole mutation.
• hole mutation refers to a mutation that introduces a cavity (hole) into a polypeptide at an interface in which the polypeptide interacts with another polypeptide.
• the other polypeptide has a knob mutation.
• a “protuberance” refers to at least one amino acid side chain which projects from the interface of a first polypeptide and is therefore positionable in a compensatory cavity in the adjacent interface (i.e. the interface of a second polypeptide) so as to stabilize the heteromultimer, and thereby favor heteromultimer formation over homomultimer formation, for example.
• the protuberance may exist in the original interface or may be introduced synthetically (e.g., by altering nucleic acid encoding the interface). In some embodiments, nucleic acid encoding the interface of the first polypeptide is altered to encode the protuberance.
• nucleic acid encoding at least one "original” amino acid residue in the interface of the first polypeptide is replaced with nucleic acid encoding at least one "import” amino acid residue which has a larger side chain volume than the original amino acid residue. It will be appreciated that there can be more than one original and corresponding import residue.
• the side chain volumes of the various amino residues are shown, for example, in Table 1 of US201 1/0287009. A mutation to introduce a "protuberance" may be referred to as a "knob mutation.”
• import residues for the formation of a protuberance are naturally occurring amino acid residues selected from arginine (R), phenylalanine (F), tyrosine (Y) and tryptophan (W).
• an import residue is tryptophan or tyrosine.
• the original residue for the formation of the protuberance has a small side chain volume, such as alanine, asparagine, aspartic acid, glycine, serine, threonine or valine.
• a "cavity” refers to at least one amino acid side chain which is recessed from the interface of a second polypeptide and therefore accommodates a corresponding protuberance on the adjacent interface of a first polypeptide.
• the cavity may exist in the original interface or may be introduced synthetically (e.g. by altering nucleic acid encoding the interface).
• nucleic acid encoding the interface of the second polypeptide is altered to encode the cavity. To achieve this, the nucleic acid encoding at least one "original" amino acid residue in the interface of the second polypeptide is replaced with DNA encoding at least one "import” amino acid residue which has a smaller side chain volume than the original amino acid residue.
• import residues for the formation of a cavity are naturally occurring amino acid residues selected from alanine (A), serine (S), threonine (T) and valine (V).
• an import residue is serine, alanine or threonine.
• the original residue for the formation of the cavity has a large side chain volume, such as tyrosine, arginine, phenylalanine or tryptophan.
• a mutation to introduce a "cavity” may be referred to as a "hole mutation.”
• the protuberance is "positionable" in the cavity which means that the spatial location of the protuberance and cavity on the interface of a first polypeptide and second polypeptide respectively and the sizes of the protuberance and cavity are such that the protuberance can be located in the cavity without significantly perturbing the normal association of the first and second polypeptides at the interface.
• the alignment of a protuberance with a corresponding cavity may, in some instances, rely on modeling the protuberance/cavity pair based upon a three-dimensional structure such as that obtained by X-ray crystallography or nuclear magnetic resonance (NMR). This can be achieved using widely accepted techniques in the art.
• a knob mutation in an IgGl constant region is T366W (EU numbering).
• a hole mutation in an IgGl constant region comprises one or more mutations selected from T366S, L368A and Y407V (EU numbering).
• a hole mutation in an IgGl constant region comprises T366S, L368A and Y407V (EU numbering).
• a knob mutation in an IgG4 constant region is T366W (EU numbering).
• a hole mutation in an IgG4 constant region comprises one or more mutations selected from T366S, L368A, and Y407V (EU numbering).
• a hole mutation in an IgG4 constant region comprises T366S, L368A, and Y407V (EU numbering).
• Multi-specific antibodies may also be made by engineering electrostatic steering effects for making antibody Fc-heterodimeric molecules (WO 2009/089004A1); cross-linking two or more antibodies or fragments (see, e.g., US Patent No. 4,676,980, and Brennan et al., Science, 229: 81 (1985)); using leucine zippers to produce bi-specific antibodies (see, e.g., Kostelny et al., J. Immunol, 148(5): 1547-1553 (1992)); using "diabody” technology for making bispecific antibody fragments (see, e.g., Hollinger et al., Proc. Natl. Acad. Sci.
• Optus antibodies are also included herein (see, e.g. US 2006/0025576A1).
• the antibody or fragment herein also includes a "Dual Acting FAb” or “DAF” comprising an antigen binding site that binds to HER2 as well as another, different antigen (see, US 2008/0069820, for example).
• amino acid sequence variants of the antibodies provided herein are contemplated. For example, it may be desirable to improve the binding affinity and/or other biological properties of the antibody.
• Amino acid sequence variants of an antibody may be prepared by introducing appropriate modifications into the nucleotide sequence encoding the antibody, or by peptide synthesis. Such modifications include, for example, deletions from, and/or insertions into and/or substitutions of residues within the amino acid sequences of the antibody. Any combination of deletion, insertion, and substitution can be made to arrive at the final construct, provided that the final construct possesses the desired characteristics, e.g., antigen-binding.
• antibody variants having one or more amino acid substitutions are provided.
• Sites of interest for substitutional mutagenesis include the HVRs and FRs.
• Conservative substitutions are shown in Table 1 under the heading of "preferred substitutions.” More substantial changes are provided in Table 1 under the heading of "exemplary substitutions,” and as further described below in reference to amino acid side chain classes.
• Amino acid substitutions may be introduced into an antibody of interest and the products screened for a desired activity, e.g., retained/improved antigen binding, decreased immunogenicity, or improved ADCC or CDC.
• Amino acids may be grouped according to common side-chain properties:
• Non-conservative substitutions will entail exchanging a member of one of these classes for another class.
• substitutional variant involves substituting one or more hypervariable region residues of a parent antibody (e.g. a humanized or human antibody).
• a parent antibody e.g. a humanized or human antibody
• the resulting variant(s) selected for further study will have modifications (e.g., improvements) in certain biological properties (e.g., increased affinity, reduced immunogenicity) relative to the parent antibody and/or will have substantially retained certain biological properties of the parent antibody.
• An exemplary substitutional variant is an affinity matured antibody, which may be conveniently generated, e.g., using phage display-based affinity maturation techniques such as those described herein. Briefly, one or more HVR residues are mutated and the variant antibodies displayed on phage and screened for a particular biological activity (e.g. binding affinity).
• Alterations may be made in HVRs, e.g., to improve antibody affinity.
• HVR hotspots
• residues encoded by codons that undergo mutation at high frequency during the somatic maturation process see, e.g. , Chowdhury, Methods Mol. Biol.
• Affinity maturation by constructing and reselecting from secondary libraries has been described, e.g., in Hoogenboom et al. ' Methods in Molecular Biology 178: 1-37 (O'Brien et al., ed., Human Press, Totowa, NJ, (2001).)
• affinity maturation diversity is introduced into the variable genes chosen for maturation by any of a variety of methods (e.g., error-prone PCR, chain shuffling, or oligonucleotide-directed mutagenesis).
• a secondary library is then created.
• the library is then screened to identify any antibody variants with the desired affinity.
• Another method to introduce diversity involves HVR-directed approaches, in which several HVR residues (e.g., 4-6 residues at a time) are randomized. HVR residues involved in antigen binding may be specifically identified, e.g. , using alanine scanning mutagenesis or modeling. CDR-H3 and CDR-L3 in particular are often targeted.
• substitutions, insertions, or deletions may occur within one or more HVRs so long as such alterations do not substantially reduce the ability of the antibody to bind antigen.
• conservative alterations e.g. , conservative substitutions as provided herein
• Such alterations may be outside of HVR "hotspots" or SDRs.
• each HVR either is unaltered, or contains no more than one, two or three amino acid substitutions.
• a useful method for identification of residues or regions of an antibody that may be targeted for mutagenesis is called "alanine scanning mutagenesis" as described by Cunningham and Wells (1989) Science, 244: 1081-1085.
• a residue or group of target residues e.g. , charged residues such as arg, asp, his, lys, and glu
• a neutral or negatively charged amino acid e.g. , alanine or polyalanine
• a crystal structure of an antigen-antibody complex is used to identify contact points between the antibody and antigen. Such contact residues and neighboring residues may be targeted or eliminated as candidates for substitution. Variants may be screened to determine whether they contain the desired properties.
• Amino acid sequence insertions include amino- and/or carboxyl-terminal fusions ranging in length from one residue to polypeptides containing a hundred or more residues, as well as intrasequence insertions of single or multiple amino acid residues.
• terminal insertions include an antibody with an N-terminal methionyl residue.
• Other insertional variants of the antibody molecule include the fusion to the N- or C-terminus of the antibody to an enzyme (e.g. for ADEPT) or a polypeptide which increases the serum half-life of the antibody.
• an antibody provided herein is altered to increase or decrease the extent to which the antibody is glycosylated.
• Addition or deletion of glycosylation sites to an antibody may be conveniently accomplished by altering the amino acid sequence such that one or more glycosylation sites is created or removed.
• the carbohydrate attached thereto may be altered.
• Native antibodies produced by mammalian cells typically comprise a branched, biantennary oligosaccharide that is generally attached by an N-linkage to Asn297 of the CH2 domain of the Fc region. See, e.g. , Wright et al. TIBTECH 15:26-32 (1997).
• the oligosaccharide may include various carbohydrates, e.g., mannose, N-acetyl glucosamine (GlcNAc), galactose, and sialic acid, as well as a fucose attached to a GlcNAc in the "stem" of the biantennary oligosaccharide structure.
• modifications of the oligosaccharide in an antibody of the invention may be made in order to create antibody variants with certain improved properties.
• antibody variants having a carbohydrate structure that lacks fucose attached (directly or indirectly) to an Fc region.
• the amount of fucose in such antibody may be from 1% to 80%, from 1% to 65%, from 5% to 65% or from 20% to 40%.
• the amount of fucose is determined by calculating the average amount of fucose within the sugar chain at Asn297, relative to the sum of all glycostructures attached to Asn 297 (e. g. complex, hybrid and high mannose structures) as measured by MALDI-TOF mass spectrometry, as described in WO 2008/077546, for example.
• Asn297 refers to the asparagine residue located at about position 297 in the Fc region (Eu numbering of Fc region residues); however, Asn297 may also be located about ⁇ 3 amino acids upstream or downstream of position 297, i.e., between positions 294 and 300, due to minor sequence variations in antibodies. Such fucosylation variants may have improved ADCC function. See, e.g., US Patent Publication Nos. US 2003/0157108 (Presta, L.); US 2004/0093621 (Kyowa Hakko Kogyo Co., Ltd).
• cell lines capable of producing defucosylated antibodies include Led 3 CHO cells deficient in protein fucosylation (Ripka et al. Arch. Biochem. Biophys. 249:533-545 (1986); US Pat Appl No US 2003/0157108 Al, Presta, L; and WO 2004/056312 Al, Adams et al., especially at Example 11), and knockout cell lines, such as alpha- 1 ,6-fucosyltransferase gene, FUT8, knockout CHO cells ⁇ see, e.g., Yamane-Ohnuki et al. Biotech. Bioeng. 87: 614 (2004); Kanda, Y. et al., Biotechnol. Bioeng., 94(4):680-688 (2006); and
• Antibodies variants are further provided with bisected oligosaccharides, e.g. , in which a biantennary oligosaccharide attached to the Fc region of the antibody is bisected by GlcNAc. Such antibody variants may have reduced fucosylation and/or improved ADCC function. Examples of such antibody variants are described, e.g., in WO 2003/011878 (Jean-Mairet et al.); US Patent No. 6,602,684 (Umana et al.); and US 2005/0123546 (Umana et al). Antibody variants with at least one galactose residue in the oligosaccharide attached to the Fc region are also provided.
• Such antibody variants may have improved CDC function.
• Such antibody variants are described, e.g., in WO 1997/30087 (Patel et al.); WO 1998/58964 (Raju, S.); and WO 1999/22764 (Raju, S.).
• one or more amino acid modifications may be introduced into the amino acid
• the Fc region variant may comprise a human Fc region sequence (e.g., a human IgGl, IgG2, IgG3 or IgG4 Fc region) comprising an amino acid modification (e.g. a substitution) at one or more amino acid positions.
• a human Fc region sequence e.g., a human IgGl, IgG2, IgG3 or IgG4 Fc region
• an amino acid modification e.g. a substitution
• the invention contemplates an antibody variant that possesses some but not all effector functions, which make it a desirable candidate for applications in which the half life of the antibody in vivo is important yet certain effector functions (such as complement and ADCC) are unnecessary or deleterious.
• In vitro and/or in vivo cytotoxicity assays can be conducted to confirm the reduction/depletion of CDC and/or ADCC activities.
• Fc receptor (FcR) binding assays can be conducted to ensure that the antibody lacks FcyR binding (hence likely lacking ADCC activity), but retains FcRn binding ability.
• NK cells express Fc(RIII only, whereas monocytes express Fc(RI, Fc(RII and Fc(RIII.
• FcR expression on hematopoietic cells is summarized in Table 3 on page 464 of Ravetch and Kinet, Annu. Rev. Immunol. 9:457-492 (1991).
• Non-limiting examples of in vitro assays to assess ADCC activity of a molecule of interest is described in U.S. Patent No.
• PBMC peripheral blood mononuclear cells
• NK Natural Killer
• ADCC activity of the molecule of interest may be assessed in vivo, e.g., in a animal model such as that disclosed in Clynes et al. Proc. Nat l Acad. Sci. USA 95:652-656 (1998).
• Clq binding assays may also be carried out to confirm that the antibody is unable to bind Clq and hence lacks CDC activity.
• a CDC assay may be performed (see, for example, Gazzano-Santoro et al., J.
• FcRn binding and in vivo clearance/half life determinations can also be performed using methods known in the art (see, e.g., Petkova, S.B. et al., Int l. Immunol.
• one or more amino acid modifications may be introduced into the Fc portion of the antibody provided herein in order to increase IgG binding to the neonatal Fc receptor.
• the antibody comprises the following three mutations according to EU numbering: M252Y, S254T, and T256E (the "YTE mutation") (US Patent No. 8,697,650; see also Dall'Acqua et al., Journal of Biological Chemistry 281(33):23514-23524 (2006).
• the YTE mutation does not affect the ability of the antibody to bind to its cognate antigen.
• the YTE mutation increases the antibody's serum half-life compared to the native (i.e., non-YTE mutant) antibody. In some embodiments, the YTE mutation increases the serum half-life of the antibody by 3-fold compared to the native (i.e., non-YTE mutant) antibody. In some embodiments, the YTE mutation increases the serum half-life of the antibody by 2-fold compared to the native (i.e., non-YTE mutant) antibody. In some embodiments, the YTE mutation increases the serum half-life of the antibody by 4-fold compared to the native (i.e., non-YTE mutant) antibody.
• the YTE mutation increases the serum half- life of the antibody by at least 5-fold compared to the native (i.e., non-YTE mutant) antibody. In some embodiments, the YTE mutation increases the serum half- life of the antibody by at least 10-fold compared to the native (i.e., non-YTE mutant) antibody. See, e.g., US Patent No. 8,697,650; see also Dall'Acqua et al., Journal of Biological Chemistry 281(33):23514-23524 (2006).
• the YTE mutant provides a means to modulate antibody-dependent cell-mediated cytotoxicity (ADCC) activity of the antibody.
• ADCC antibody-dependent cell-mediated cytotoxicity
• the YTEO mutant provides a means to modulate ADCC activity of a humanized IgG antibody directed against a human antigen. See, e.g., US Patent No. 8,697,650; see also Dall'Acqua et al., Journal of Biological Chemistry 281(33):23514-23524 (2006).
• the YTE mutant allows the simultaneous modulation of serum half-life, tissue distribution, and antibody activity (e.g., the ADCC activity of an IgG antibody). See, e.g., US Patent No. 8,697,650; see also Dall'Acqua et al., Journal of Biological Chemistry 281(33):23514-23524 (2006).
• Antibodies with reduced effector function include those with substitution of one or more of
• Fc region residues 238, 265, 269, 270, 297, 327 and 329 U.S. Patent No. 6,737,056).
• Such Fc mutants include Fc mutants with substitutions at two or more of amino acid positions 265, 269, 270, 297 and 327, including the so-called "DANA" Fc mutant with substitution of residues 265 and 297 to alanine (US Patent No. 7,332,581).
• the proline at position329 (EU numbering ) (P329) of a wild-type human Fc region is substituted with glycine or arginine or an amino acid residue large enough to destroy the proline sandwich within the Fc/FcD receptor interface, that is formed between the P329 of the Fc and tryptophane residues W87 and WHO of FcgRIII (Sondermann et al.: Nature 406, 267-273 (20 July 2000)).
• At least one further amino acid substitution in the Fc variant is S228P, E233P, L234A, L235A, L235E, N297A, N297D, or P331S and still in another embodiment said at least one further amino acid substitution is L234A and L235A of the human IgGl Fc region or S228P and L235E of the human IgG4 Fc region, all according to EU numbering (U.S. Patent No. 8,969,526 which is incorporated by reference in its entirety).
• a polypeptide comprises the Fc variant of a wild-type human IgG
• the polypeptide has P329 of the human IgG Fc region substituted with glycine and wherein the Fc variant comprises at least two further amino acid substitutions at L234A and L235A of the human IgGl Fc region or S228P and L235E of the human IgG4 Fc region, and wherein the residues are numbered according to the EU numbering (U.S. Patent No. 8,969,526 which is incorporated by reference in its entirety).
• the polypeptide comprising the P329G, L234A and L235A (EU numbering) substitutions exhibit a reduced affinity to the human FcyRIIIA and FcyRIIA, for down- modulation of ADCC to at least 20% of the ADCC induced by the polypeptide comprising the wildtype human IgG Fc region, and/or for down-modulation of ADCP (U.S. Patent No. 8,969,526 which is incorporated by reference in its entirety).
• polypeptide comprising an Fc variant of a wildtype human Fc polypeptide comprises a triple mutation: an amino acid substitution at position Pro329, a L234A and a L235A mutation according to EU numbering (P329 / LALA) (U.S. Patent No. 8,969,526 which is incorporated by reference in its entirety).
• the polypeptide comprises the following amino acid substitutions: P329G, L234A, and L235A according to EU numbering.
• an antibody variant comprises an Fc region with one or more amino acid substitutions which improve ADCC, e.g., substitutions at positions 298, 333, and/or 334 of the Fc region (EU numbering of residues).
• alterations are made in the Fc region that result in altered (i.e., either improved or diminished) Clq binding and/or Complement Dependent Cytotoxicity (CDC), e.g., as described in US Patent No. 6,194,551, WO 99/51642, and Idusogie et al. J. Immunol. 164: 4178-4184 (2000).
• CDC Complement Dependent Cytotoxicity
• Patent No. 5,624,821 and WO 94/29351 concerning other examples of Fc region variants.
• cysteine engineered antibodies e.g., a
• TIOMABTM in which one or more residues of an antibody are substituted with cysteine residues.
• the substituted residues occur at sites of the antibody that are available for conjugation.
• reactive thiol groups are thereby positioned at accessible sites of the antibody and may be used to conjugate the antibody to other moieties, such as drug moieties or linker-drug moieties, to create an immunoconjugate, as described further herein.
• any one or more of the following residues may be substituted with cysteine: K149 (Kabat numbering) of the light chain; V205 (Kabat numbering) of the light chain; Al 18 (EU numbering) of the heavy chain; A 140 (EU numbering) of the heavy chain; LI 74 (EU numbering) of the heavy chain; Y373 (EU numbering) of the heavy chain; and S400 (EU numbering) of the heavy chain Fc region.
• the antibodies described herein comprise the HC-A140C (EU numbering) cysteine substitution.
• the antibodies described herein comprise the LC-K149C (Kabat numbering) cysteine substitution.
• the antibodies described herein comprise the HC-A1 18C (EU numbering) cysteine substitution.
• Cysteine engineered antibodies may be generated as described, e.g. , in U.S. Patent No. 7,521 ,541.
• the antibody comprises one of the following heavy chain cysteine substitutions:
• the antibody comprises one of the following light chain cysteine substitutions:
• a nonlimiting exemplary hu7C2.v2.2.LA light chain (LC) K149C THIOMABTM has the heavy chain and light chain amino acid sequences of SEQ ID NOs: 19 and 23, respectively.
• a nonlimiting exemplary hu7C2.v2.2.LA heavy chain (HC) Al 18C THIOMABTM has the heavy chain and light chain amino acid sequences of SEQ ID NOs: 24 and 18, respectively.
• S400C cysteine engineered heavy chain constant region is shown in SEQ ID NO: 1
• the S400C cysteine engineered heavy chain constant region may be fused to the C-terminus of the hu7C2.v2.2.LA heavy chain variable region shown in SEQ ID NO: 1 1.
• the resulting hu7C2.v2.2.LA HC S400C heavy chain may be paired with a hu7C2.v2.2.LA kappa light chain, such as the light chain shown in SEQ ID NO: 18.
• V205C cysteine engineered light chain constant region is shown in SEQ ID NO: 1
• the V205C cysteine engineered light chain constant region may be fused to the C-terminus of the hu7C2.v2.2.LA light chain variable region shown in SEQ ID NO: 10.
• the resulting hu7C2.v2.2.LA LC V205C light chain may be paired with a hu7C2.v2.2.LA IgG heavy chain, such as the heavy chain shown in SEQ ID NO: 19.
• an antibody provided herein may be further modified to contain additional nonproteinaceous moieties that are known in the art and readily available.
• the moieties suitable for derivatization of the antibody include but are not limited to water soluble polymers.
• water soluble polymers include, but are not limited to, polyethylene glycol (PEG), copolymers of ethylene glycol/propylene glycol, carboxymethylcellulose, dextran, polyvinyl alcohol, polyvinyl pyrrolidone, poly-1 , 3-dioxolane, poly-l ,3,6-trioxane, ethylene/maleic anhydride copolymer,
• polyaminoacids either homopolymers or random copolymers
• dextran or poly(n-vinyl)
• pyrrolidone polyethylene glycol
• propropylene glycol homopolymers prolypropylene oxide/ethylene oxide co-polymers
• polyoxyethylated polyols e.g., glycerol
• polyvinyl alcohol polyvinyl alcohol
• Polyethylene glycol propionaldehyde may have advantages in manufacturing due to its stability in water.
• the polymer may be of any molecular weight, and may be branched or unbranched.
• the number of polymers attached to the antibody may vary, and if more than one polymer are attached, they can be the same or different molecules. In general, the number and/or type of polymers used for derivatization can be determined based on considerations including, but not limited to, the particular properties or functions of the antibody to be improved, whether the antibody derivative will be used in a therapy under defined conditions, etc.
• conjugates of an antibody and nonproteinaceous moiety that may be selectively heated by exposure to radiation are provided.
• the nonproteinaceous moiety is a carbon nanotube (Kam et al., Proc. Natl. Acad. Sci. USA 102: 1 1600-1 1605 (2005)).
• the radiation may be of any wavelength, and includes, but is not limited to, wavelengths that do not harm ordinary cells, but which heat the nonproteinaceous moiety to a temperature at which cells proximal to the antibody-nonproteinaceous moiety are killed.
• Antibodies may be produced using recombinant methods and compositions, e.g. , as described in U.S. Patent No. 4,816,567.
• isolated nucleic acid encoding an anti-HER2 antibody described herein is provided.
• Such nucleic acid may encode an amino acid sequence comprising the VL and/or an amino acid sequence comprising the VH of the antibody (e.g. , the light and/or heavy chains of the antibody).
• one or more vectors e.g., expression vectors
• a host cell comprising such nucleic acid is provided.
• a host cell comprises (e.g.
• the host cell is eukaryotic, e.g. a Chinese Hamster Ovary (CHO) cell or lymphoid cell (e.g., Y0, NS0, Sp20 cell).
• CHO Chinese Hamster Ovary
• lymphoid cell e.g., Y0, NS0, Sp20 cell
• a method of making an anti-HER2 antibody comprises culturing a host cell comprising a nucleic acid encoding the antibody, as provided above, under conditions suitable for expression of the antibody, and optionally recovering the antibody from the host cell (or host cell culture medium).
• nucleic acid encoding an antibody is isolated and inserted into one or more vectors for further cloning and/or expression in a host cell.
• nucleic acid may be readily isolated and sequenced using conventional procedures (e.g. , by using oligonucleotide probes that are capable of binding specifically to genes encoding the heavy and light chains of the antibody).
• Suitable host cells for cloning or expression of antibody-encoding vectors include prokaryotic or eukaryotic cells described herein.
• antibodies may be produced in bacteria, in particular when glycosylation and Fc effector function are not needed.
• the antibody may be isolated from the bacterial cell paste in a soluble fraction and can be further purified.
• eukaryotic microbes such as filamentous fungi or yeast are suitable cloning or expression hosts for antibody-encoding vectors, including fungi and yeast strains whose glycosylation pathways have been "humanized,” resulting in the production of an antibody with a partially or fully human glycosylation pattern. See Gerngross, Nat. Biotech. 22: 1409-1414 (2004), and Li et al., Nat. Biotech. 24:210-215 (2006).
• Suitable host cells for the expression of glycosylated antibody are also derived from multicellular organisms (invertebrates and vertebrates). Examples of invertebrate cells include plant and insect cells. Numerous baculoviral strains have been identified which may be used in conjunction with insect cells, particularly for transfection of Spodoptera frugiperda cells.
• Plant cell cultures can also be utilized as hosts. See, e.g., US Patent Nos. 5,959,177,
• Vertebrate cells may also be used as hosts.
• mammalian cell lines that are adapted to grow in suspension may be useful.
• useful mammalian host cell lines are monkey kidney CV1 line transformed by SV40 (COS-7); human embryonic kidney line (293 or 293 cells as described, e.g., in Graham et al., J. Gen Virol. 36:59 (1977)); baby hamster kidney cells (BHK); mouse Sertoli cells (TM4 cells as described, e.g., in Mather, Biol. Reprod.
• monkey kidney cells (CV1); African green monkey kidney cells (VERO-76); human cervical carcinoma cells (HELA); canine kidney cells (MDCK; buffalo rat liver cells (BRL 3A); human lung cells (W138); human liver cells (Hep G2); mouse mammary tumor (MMT 060562); TRI cells, as described, e.g., in Mather et al., Annals N Y. Acad. Sci. 383:44-68 (1982); MRC 5 cells; and FS4 cells.
• Other useful mammalian host cell lines include Chinese hamster ovary (CHO) cells, including DHFR " CHO cells (Urlaub et al., Proc. Natl. Acad. Sci.
• myeloma cell lines such as Y0, NS0 and Sp2/0.
• myeloma cell lines suitable for antibody production see, e.g., Yazaki and Wu, Methods in
• Anti-HER2 antibodies provided herein may be identified, screened for, or characterized for their physical/chemical properties and/or biological activities by various assays known in the art.
• an antibody of the invention is tested for its antigen binding activity, e.g., by known methods such as ELISA, BIACore ® , FACS, or Western blot.
• competition assays may be used to identify an antibody that competes with any of the antibodies described herein for binding to HER2.
• a competing antibody binds to the same epitope (e.g., a linear or a conformational epitope) that is bound by an antibody described herein.
• epitope e.g., a linear or a conformational epitope
• Detailed exemplary methods for mapping an epitope to which an antibody binds are provided in Morris (1996) "Epitope Mapping Protocols," in Methods in Molecular Biology vol. 66 (Humana Press, Totowa, NJ).
• immobilized HER2 is incubated in a solution comprising a first labeled antibody that binds to HER2 (e.g., any of the antibodies described herein) and a second unlabeled antibody that is being tested for its ability to compete with the first antibody for binding to HER2.
• the second antibody may be present in a hybridoma supernatant.
• immobilized HER2 is incubated in a solution comprising the first labeled antibody but not the second unlabeled antibody. After incubation under conditions permissive for binding of the first antibody to HER2, excess unbound antibody is removed, and the amount of label associated with immobilized HER2 is measured.
• the invention also provides immunoconjugates comprising any anti-HER2 antibody provided herein conjugated to one or more cytotoxic agents, such as chemotherapeutic agents or drugs, growth inhibitory agents, toxins (e.g., protein toxins, enzymatically active toxins of bacterial, fungal, plant, or animal origin, or fragments thereof), or radioactive isotopes (i.e., a radioconjugate).
• cytotoxic agents such as chemotherapeutic agents or drugs, growth inhibitory agents, toxins (e.g., protein toxins, enzymatically active toxins of bacterial, fungal, plant, or animal origin, or fragments thereof), or radioactive isotopes (i.e., a radioconjugate).
• Immunoconjugates allow for the targeted delivery of a drug moiety to a tumor, and, in some embodiments intracellular accumulation therein, where systemic administration of unconjugated drugs may result in unacceptable levels of toxicity to normal cells (Polakis P. (2005) Current Opinion in
• ADC Antibody-drug conjugates
• ADC are targeted chemotherapeutic molecules which combine properties of both antibodies and cytotoxic drugs by targeting potent cytotoxic drugs to antigen-expressing tumor cells (Teicher, B.A. (2009) Current Cancer Drug Targets 9:982-1004), thereby enhancing the therapeutic index by maximizing efficacy and minimizing off-target toxicity (Carter, P.J. and Senter P.D. (2008) The Cancer Jour. 14(3): 154-169; Chari, R.V. (2008) Acc. Chem. Res. 41 :98-107 .
• the ADC compounds of the invention include those with anticancer activity.
• the ADC compounds include an antibody conjugated, i.e. covalently attached, to the drug moiety.
• the antibody is covalently attached to the drug moiety through a linker.
• the antibody-drug conjugates (ADC) of the invention selectively deliver an effective dose of a drug to tumor tissue whereby greater selectivity, i.e. a lower efficacious dose, may be achieved while increasing the therapeutic index ("therapeutic window").
• the drug moiety (D) of the antibody-drug conjugates (ADC) may include any compound, moiety or group that has a cytotoxic or cytostatic effect.
• Drug moieties may impart their cytotoxic and cytostatic effects by mechanisms including but not limited to tubulin binding, DNA binding or
• RNA polymerase intercalation, and inhibition of RNA polymerase, protein synthesis, and/or topoisomerase.
• exemplary drug moieties include, but are not limited to, a maytansinoid, dolastatin, auristatin, calicheamicin,
• pyrrolobenzodiazepine PBD
• nemorubicin and its derivatives PNU- 159682
• anthracycline duocarmycin
• vinca alkaloid taxane
• trichothecene CC1065
• camptothecin elinafide
• stereoisomers isosteres, analogs, and derivatives thereof that have cytotoxic activity.
• An exemplary embodiment of an antibody-drug conjugate (ADC) compound comprises an antibody (Ab) which targets a tumor cell, a drug moiety (D), and a linker moiety (L) that attaches Ab to D.
• the antibody is attached to the linker moiety (L) through one or more amino acid residues, such as lysine and/or cysteine.
• An exemplary ADC has Formula I:
• the number of drug moieties that can be conjugated to an antibody is limited by the number of free cysteine residues.
• free cysteine residues are introduced into the antibody amino acid sequence by the methods described herein.
• Exemplary ADC of Formula I include, but are not limited to, antibodies that have 1 , 2, 3, or 4 engineered cysteine amino acids (Lyon, Pv. et al (2012) Methods in Enzym. 502: 123-138).
• one or more free cysteine residues are already present in an antibody, without the use of engineering, in which case the existing free cysteine residues may be used to conjugate the antibody to a drug.
• an antibody is exposed to reducing conditions prior to conjugation of the antibody in order to generate one or more free cysteine residues.
• a “Linker” (L) is a bifunctional or multifunctional moiety that can be used to link one or more drug moieties (D) to an antibody (Ab) to form an antibody-drug conjugate (ADC) of Formula I.
• antibody-drug conjugates (ADC) can be prepared using a Linker having reactive functionalities for covalently attaching to the drug and to the antibody.
• a cysteine thiol of an antibody (Ab) can form a bond with a reactive functional group of a linker or a drug- linker intermediate to make an ADC.
• a linker has a functionality that is capable of reacting with a free cysteine present on an antibody to form a covalent bond.
• reactive functionalities include maleimide, haloacetamides, a-haloacetyl, activated esters such as succinimide esters, 4-nitrophenyl esters, pentafluorophenyl esters, tetrafluorophenyl esters, anhydrides, acid chlorides, sulfonyl chlorides, isocyanates, and isothiocyanates.
• a linker has a functionality that is capable of reacting with an electrophilic group present on an antibody.
• electrophilic groups include, but are not limited to, aldehyde and ketone carbonyl groups.
• a heteroatom of the reactive functionality of the linker can react with an electrophilic group on an antibody and form a covalent bond to an antibody unit.
• Nonlimiting exemplary such reactive functionalities include, but are not limited to, hydrazide, oxime, amino, hydrazine, thiosemicarbazone, hydrazine carboxylate, and arylhydrazide.
• a linker may comprise one or more linker components.
• exemplary linker components include 6-maleimidocaproyl (“MC”), maleimidopropanoyl (“MP”), valine-citrulline (“val-cit” or “vc”), alanine-phenylalanine (“ala-phe”), p-aminobenzyloxycarbonyl (a "PAB”), N-Succinimidyl 4-(2- pyridylthio) pentanoate (“SPP”), and 4-(N-maleimidomethyl) cyclohexane- 1 carboxylate (“MCC”).
• MC 6-maleimidocaproyl
• MP maleimidopropanoyl
• val-cit valine-citrulline
• alanine-phenylalanine ala-phe
• PAB p-aminobenzyloxycarbonyl
• SPP N-Succinimidyl 4-(2- pyridy
• a linker may be a "cleavable linker," facilitating release of a drug.
• Nonlimiting exemplary cleavable linkers include acid-labile linkers (e.g., comprising hydrazone), protease-sensitive (e.g., peptidase-sensitive) linkers, photolabile linkers, or disulfide-containing linkers (Chari et al., Cancer Research 52: 127-131 (1992); US 5208020).
• a linker has the following Formula II:
• A is a "stretcher unit", and a is an integer from 0 to 1 ; W is an “amino acid unit”, and w is an integer from 0 to 12; Y is a “spacer unit”, and y is 0, 1, or 2; and Ab, D, and p are defined as above for Formula I.
• Exemplary embodiments of such linkers are described in U.S. Patent No. 7,498,298, which is expressly incorporated herein by reference.
• a linker component comprises a "stretcher unit” that links an antibody to another linker component or to a drug moiety.
• stretcher units are shown below (wherein the wavy line indicates sites of covalent attachment to an antibody, drug, or additional linker components):
• a linker component comprises an "amino acid unit".
• the amino acid unit allows for cleavage of the linker by a protease, thereby facilitating release of the drug from the immunoconjugate upon exposure to intracellular proteases, such as lysosomal enzymes (Doronina et al. (2003) Nat. Biotechnol. 21 :778-784).
• Exemplary amino acid units include, but are not limited to, dipeptides, tripeptides, tetrapeptides, and pentapeptides.
• Exemplary dipeptides include, but are not limited to, valine-citrulline (vc or val-cit), alanine-phenylalanine (af or ala-phe); phenylalanine- lysine (fk or phe-lys); phenylalanine-homolysine (phe-homolys); and N-methyl-valine-citrulline (Me-val- cit).
• Exemplary tripeptides include, but are not limited to, glycine-valine-citrulline (gly-val-cit) and glycine-glycine-glycine (gly-gly-gly).
• amino acid unit may comprise amino acid residues that occur naturally and/or minor amino acids and/or non-naturally occurring amino acid analogs, such as citrulline.
• Amino acid units can be designed and optimized for enzymatic cleavage by a particular enzyme, for example, a tumor-associated protease, cathepsin B, C and D, or a plasmin protease.
• a linker component comprises a "spacer” unit that links the antibody to a drug moiety, either directly or through a stretcher unit and/or an amino acid unit.
• a spacer unit may be "self-immolative” or a "non-self-immolative.”
• a "non-self-immolative" spacer unit is one in which part or all of the spacer unit remains bound to the drug moiety upon cleavage of the ADC. Examples of non-self- immolative spacer units include, but are not limited to, a glycine spacer unit and a glycine-glycine spacer unit.
• enzymatic cleavage of an ADC containing a glycine-glycine spacer unit by a tumor-cell associated protease results in release of a glycine-gly cine-drug moiety from the remainder of the ADC.
• the glycine-glycine-drug moiety is subjected to a hydrolysis step in the tumor cell, thus cleaving the glycine-glycine spacer unit from the drug moiety.
• a "self-immolative" spacer unit allows for release of the drug moiety.
• a spacer unit of a linker comprises a p-aminobenzyl unit.
• a p- aminobenzyl alcohol is attached to an amino acid unit via an amide bond, and a carbamate,
• an ADC comprising a self-immolative linker has the structure:
• Q is -Ci-Cs alkyl, -0-(Ci-Cs alkyl), -halogen, -nitro, or -cyno;
• m is an integer ranging from 0 to 4; and
• p ranges from 1 to about 20. In some embodiments, p ranges from 1 to 10, 1 to 7, 1 to 5, or 1 to 4.
• self-immolative spacers include, but are not limited to, aromatic compounds that are electronically similar to the PAB group, such as 2-aminoimidazol-5-methanol derivatives (U.S. Patent No. 7,375,078; Hay et al. (1999) Bioorg. Med. Chem. Lett. 9:2237) and ortho- or para-aminobenzylacetals.
• spacers can be used that undergo cyclization upon amide bond hydrolysis, such as substituted and unsubstituted 4-aminobutyric acid amides (Rodrigues et al (1995) Chemistry Biology 2:223), appropriately substituted bicyclo[2.2.1] and bicyclo[2.2.2] ring systems (Storm et al (1972) J. Amer. Chem. Soc. 94:5815) and 2-aminophenylpropionic acid amides (Amsbeny, et al (1990) J. Org. Chem. 55:5867).
• Linkage of a drug to the a-carbon of a glycine residue is another example of a self-immolative spacer that may be useful in ADC (Kingsbury et al (1984) J. Med. Chem. 27: 1447).
• linker L may be a dendritic type linker for covalent attachment of more than one drug moiety to an antibody through a branching, multifunctional linker moiety (Sun et al (2002) Bioorganic & Medicinal Chemistry Letters 12:2213-2215; Sun et al (2003) Bioorganic & Medicinal Chemistry 11 : 1761-1768).
• Dendritic linkers can increase the molar ratio of drug to antibody, i.e. loading, which is related to the potency of the ADC.
• an antibody bears only one reactive cysteine thiol group, a multitude of drug moieties may be attached through a dendritic linker.
• Nonlimiting exemplary linkers are shown below in the context of an ADC of Formula I:
• ADCs include the structures:
• each R is independently H or C1-C6 alkyl; and n is 1 to 12.
• peptide -type linkers can be prepared by forming a peptide bond between two or more amino acids and/or peptide fragments.
• Such peptide bonds can be prepared, for example, according to a liquid phase synthesis method (e.g., E. Schroder and K. Liibke (1965) "The Peptides", volume 1, pp 76- 136, Academic Press).
• a linker is substituted with groups that modulate solubility and/or reactivity.
• a charged substituent such as sulfonate (-SO3 ) or ammonium may increase water solubility of the linker reagent and facilitate the coupling reaction of the linker reagent with the antibody and/or the drug moiety, or facilitate the coupling reaction of Ab-L (antibody- linker intermediate) with D, or D-L (drug-linker intermediate) with Ab, depending on the synthetic route employed to prepare the ADC.
• a portion of the linker is coupled to the antibody and a portion of the linker is coupled to the drug, and then the Ab-(linker portion) a is coupled to drug-(linker portion) 13 to form the ADC of Formula I.
• the antibody comprises more than one (linker portion) a substituents, such that more than one drug is coupled to the antibody in the ADC of Formula I.
• the compounds of the invention expressly contemplate, but are not limited to, ADC prepared with the following linker reagents: bis-maleimido-trioxyethylene glycol (BMPEO), ⁇ -( ⁇ - maleimidopropyloxy)-N-hydroxy succinimide ester (BMPS), N-(e-maleimidocaproyloxy) succinimide ester (EMCS), N-[y-maleimidobutyryloxy] succinimide ester (GMBS), 1 ,6-hexane-bis-vinylsulfone (HBVS), succinimidyl 4-(N-maleimidomethyl)cyclohexane- 1 -carboxy-(6-amidocaproate) (LC-SMCC), m- maleimidobenzoyl-N-hydroxysuccinimide ester (MBS), 4-(4-N-Maleimidophenyl)butyric acid hydrazide (MPBH), succinimidyl 3-
• imidoesters such as dimethyl adipimidate HQ
• active esters such as disuccinimidyl suberate
• aldehydes such as glutaraldehyde
• bis-azido compounds such as bis (p- azidobenzoyl) hexanediamine
• bis-diazonium derivatives such as bis-(p-diazoniumbenzoyl)- ethylenediamine
• diisocyanates such as toluene 2,6-diisocyanate
• bis-active fluorine compounds such as l,5-difluoro-2,4-dinitrobenzene
• bis-maleimide reagents allow the attachment of the thiol group of a cysteine in the antibody to a thiol-containing drug moiety, linker, or linker-drug intermediate.
• Other functional groups that are reactive with thiol groups include, but are not limited to, iodoacetamide, bromoacetamide, vinyl pyridine, disulfide, pyridyl disulfide, isocyanate, and isothiocyanate.
• MX-DTPA is an exemplary chelating agent for conjugation of radionucleotide to the antibody. See, e.g., WO94/11026.
• an immunoconjugate comprises an antibody conjugated to one or more maytansinoid molecules.
• Maytansinoids are derivatives of maytansine, and are mitototic inhibitors which act by inhibiting tubulin polymerization. Maytansine was first isolated from the east African shrub Maytenus serrata (U.S. Patent No. 3896111). Subsequently, it was discovered that certain microbes also produce maytansinoids, such as maytansinol and C-3 maytansinol esters (U.S. Patent No. 4,151,042). Synthetic maytansinoids are disclosed, for example, in U.S. Patent Nos.
• Maytansinoid drug moieties are attractive drug moieties in antibody-drug conjugates because they are: (i) relatively accessible to prepare by fermentation or chemical modification or derivatization of fermentation products, (ii) amenable to derivatization with functional groups suitable for conjugation through non-disulfide linkers to antibodies, (iii) stable in plasma, and (iv) effective against a variety of tumor cell lines.
• Certain maytansinoids suitable for use as maytansinoid drug moieties are known in the art and can be isolated from natural sources according to known methods or produced using genetic engineering techniques (see, e.g., Yu et al (2002) PNAS 99:7968-7973). Maytansinoids may also be prepared synthetically according to known methods.
• Exemplary maytansinoid drug moieties include, but are not limited to, those having a modified aromatic ring, such as: C-19-dechloro (US Pat. No. 4256746) (prepared, for example, by lithium aluminum hydride reduction of ansamytocin P2); C-20-hydroxy (or C-20-demethyl) +/-C-19-dechloro (US Pat. Nos. 4361650 and 4307016) (prepared, for example, by demethylation using Streptomyces or
• Actinomyces or dechlorination using LAH and C-20-demethoxy, C-20-acyloxy (-OCOR), +/-dechloro (U.S. Pat. No. 4,294,757) (prepared, for example, by acylation using acyl chlorides), and those having modifications at other positions of the aromatic ring.
• Exemplary maytansinoid drug moieties also include those having modifications such as: C-
• Streptomyces Streptomyces
• 4,5-deoxy (US 437153) (prepared, for example, by the titanium trichloride/LAH reduction of maytansinol).
• an ester linkage may be formed by reaction with a hydroxyl group using conventional coupling techniques.
• the reaction may occur at the C-3 position having a hydroxyl group, the C-14 position modified with hydroxymethyl, the C-15 position modified with a hydroxyl group, and the C- 20 position having a hydroxyl group.
• the linkage is formed at the C-3 position of maytansinol or a maytansinol analogue.
• Maytansinoid drug moieties include those having the structure:
• Each R may independently be H or a G-C6 alkyl.
• the alkylene chain attaching the amide group to the sulfur atom may be methanyl, ethanyl, or propyl, i.e. , m is 1 , 2, or 3 (US 633410; US 5208020; Chari et al (1992) Cancer Res. 52: 127-131 ; Liu et al (1996) Proc. Natl. Acad. Sci USA 93:8618- 8623).
• the maytansinoid drug moiety has the following stereochemistry:
• Exemplary embodiments of maytansinoid drug moieties include, but are not limited to,
• DM1 ; DM3; and DM4 having the structures:
• exemplary maytansinoid antibody-drug conjugates have the following structures and abbreviations (wherein Ab is antibody and p is 1 to about 20. In some embodiments, p is 1 to 10, p is 1 to 7, p is 1 to 5, or p is 1 to 4):
• Exemplary antibody-drug conjugates where DM1 is linked through a BMPEO linker to a thiol group of the antibody have the structure and abbreviation:
• Ab is antibody; n is 0, 1, or 2; and p is 1 to about 20. In some embodiments, p is 1 to 10, p is 1 to 7, p is 1 to 5, or p is 1 to 4.
• Immunoconjugates containing maytansinoids, methods of making the same, and their therapeutic use are disclosed, for example, in U.S. Patent Nos. 5,208,020 and 5,416,064; US 2005/0276812 Al; and European Patent EP 0 425 235 Bl, the disclosures of which are hereby expressly incorporated by reference. See also Liu et al. Proc. Natl. Acad. Sci. USA 93:8618-8623 (1996); and Chari et al. Cancer Research 52: 127-131 (1992).
• antibody-maytansinoid conjugates may be prepared by chemically linking an antibody to a maytansinoid molecule without significantly diminishing the biological activity of either the antibody or the maytansinoid molecule. See, e.g., U.S. Patent No. 5,208,020 (the disclosure of which is hereby expressly incorporated by reference).
• ADC with an average of 3-4 maytansinoid molecules conjugated per antibody molecule has shown efficacy in enhancing cytotoxicity of target cells without negatively affecting the function or solubility of the antibody. In some instances, even one molecule of toxin/antibody is expected to enhance cytotoxicity over the use of naked antibody.
• Exemplary linking groups for making antibody-maytansinoid conjugates include, for example, those described herein and those disclosed in U.S. Patent No. 5208020; EP Patent 0 425 235 Bl; Chari et al. Cancer Research 52: 127-131 (1992); US 2005/0276812 Al; and US 2005/016993 Al, the disclosures of which are hereby expressly incorporated by reference.
• Drug moieties include dolastatins, auristatins, and analogs and derivatives thereof (US
• Auristatins are derivatives of the marine mollusk compound dolastatin-10. While not intending to be bound by any particular theory, dolastatins and auristatins have been shown to interfere with microtubule dynamics, GTP hydrolysis, and nuclear and cellular division (Woyke et al (2001) Antimicrob. Agents and Chemother. 45(12):3580-3584) and have anticancer (US 5663149) and antifungal activity (Pettit et al (1998) Antimicrob. Agents Chemother.
• the dolastatin/auristatin drug moiety may be attached to the antibody through the N (amino) terminus or the C (carboxyl) terminus of the peptidic drug moiety (WO 02/088172; Doronina et al (2003) Nature Biotechnology 21(7):778-784; Francisco et al (2003) Blood 102(4): 1458-1465).
• Exemplary auristatin embodiments include the N-terminus linked monomethylauristatin drug moieties DE and DF, disclosed in US 7498298 and US 7659241, the disclosures of which are expressly incorporated by reference in their entirety:
• R 2 is selected from H and Ci-Cs alkyl
• R 3 is selected from H, Ci-Cs alkyl, C3-C8 carbocycle, aryl, Ci-Cs alkyl-aryl, Ci-Cs alkyl-(C3-Cs carbocycle), C3-C8 heterocycle and Ci-Cs alkyl-(C3-Cs heterocycle);
• R 4 is selected from H, Ci-Cs alkyl, C3-C8 carbocycle, aryl, Ci-Cs alkyl-aryl, Ci-Cs alkyl-(C3-Cs carbocycle), C3-C8 heterocycle and Ci-Cs alkyl-(C3-Cs heterocycle);
• R 5 is selected from H and methyl
• R 4 and R 5 jointly form a carbocyclic ring and have the formula -(CR a R b ) n - wherein R a and R b are independently selected from H, Ci-Cs alkyl and C3-C8 carbocycle and n is selected from 2, 3, 4, 5 and 6;
• R 6 is selected from H and Ci-Cs alkyl
• R 7 is selected from H, Ci-Cs alkyl, C3-C8 carbocycle, aryl, Ci-Cs alkyl-aryl, Ci-Cs alkyl-(C3-Cs carbocycle), C3-C8 heterocycle and Ci-Cs alkyl-(C3-Cs heterocycle);
• each R 8 is independently selected from H, OH, Ci-Cs alkyl, C3-C8 carbocycle and 0-(Ci-Cs alkyl);
• R 9 is selected from H and Ci-Cs alkyl
• R 10 is selected from aryl or C3-C8 heterocycle
• Z is O, S, NH, or NR 12 , wherein R 12 is Ci-Cs alkyl;
• R 11 is selected from H, C1-C20 alkyl, aryl, C 3 -C 8 heterocycle, -(R 13 0) m -R 14 , or -(R 13 0) m -CH(R 15 ) 2 ; m is an integer ranging from 1-1000;
• R 13 is C2-C8 alkyl
• R 14 is H or Ci-Cs alkyl
• each occurrence of R 15 is independently H, COOH, -(CH 2 ) n -N(R 16 ) 2 , -(CH 2 )n-S0 3 H, or -(CH 2 ) n - SO3-C1-C8 alkyl; each occurrence of R is independently H, Ci-Cs alkyl, or -(CH2)n-COOH;
• R 18 is selected from -C(R 8 ) 2 -C(R 8 ) 2 -aryl, -C(R 8 )2-C(R 8 ) 2 -(C3-C 8 heterocycle), and
• n is an integer ranging from 0 to 6.
• R 3 , R 4 and R 7 are independently isopropyl or sec-butyl and R 5 is -H or methyl.
• R 3 and R 4 are each isopropyl, R 5 is -H, and R 7 is sec-butyl.
• R 2 and R 6 are each methyl, and R 9 is -H.
• each occurrence of R 8 is -OCH3.
• R 3 and R 4 are each isopropyl
• R 2 and R 6 are each methyl
• R 5 is -H
• R 7 is sec-butyl
• each occurrence of R 8 is -OCH3
• R 9 is -H.
• Z is -O- or -NH-.
• R 10 is aryl
• R 10 is -phenyl
• R 11 is -H, methyl or t-butyl.
• R 11 is -CH(R 15 ) 2 , wherein R 15 is -(CH 2 ) n -N(R 16 ) 2 , and
• R 16 is -Ci-Cs alkyl or -(CH 2 ) n -COOH.
• R 11 is -CH(R 15 ) 2 , wherein R 15 is -(CH 2 ) n -S0 3 H.
• An exemplary auristatin embodiment of formula DE is MMAE, wherein the wavy line indicates the covalent attachment to a linker (L) of an antibody-drug conjugate:
• An exemplary auristatin embodiment of formula DF is MMAF, wherein the wavy line indicates the covalent attachment to a linker (L) of an antibody-drug conjugate:
• Nonlimiting exemplary embodiments of ADC of Formula I comprising MMAE or MMAF and various linker components have the following structures and abbreviations (wherein "Ab” is an antibody; p is 1 to about 8, “Val-Cit” is a valine-citrulline dipeptide; and "S” is a sulfur atom:
• Nonlimiting exemplary embodiments of ADCs of Formula I comprising MMAF and various linker components further include Ab-MC-PAB-MMAF and Ab-PAB-MMAF.
• Immunoconjugates comprising MMAF attached to an antibody by a linker that is not proteolytically cleavable have been shown to possess activity comparable to immunoconjugates comprising MMAF attached to an antibody by a proteolytically cleavable linker (Doronina et al. (2006) Bioconjugate Chem. 17: 1 14-124). In some such embodiments, drug release is believed to be effected by antibody degradation in the cell.
• peptide-based drug moieties can be prepared by forming a peptide bond between two or more amino acids and/or peptide fragments.
• Such peptide bonds can be prepared, for example, according to a liquid phase synthesis method (see, e.g. , E. Schroder and K. Liibke, "The Peptides", volume 1 , pp 76-136, 1965, Academic Press).
• Auristatin/dolastatin drug moieties may, in some embodiments, be prepared according to the methods of: US 7498298; US 5635483; US 5780588; Pettit et al (1989) J. Am. Chem. Soc.
• auristatin/dolastatin drug moieties of formulas DE such as MMAE, and DF, such as MMAF, and drug-linker intermediates and derivatives thereof, such as MC-MMAF, MC- MMAE, MC-vc-PAB-MMAF, and MC-vc-PAB-MMAE may be prepared using methods described in US 7498298; Doronina et al. (2006) Bioconjugate Chem. 17: 1 14-124; and Doronina et al. (2003) Nat. Biotech. 21 :778-784and then conjugated to an antibody of interest.
• the immunoconjugate comprises an antibody conjugated to one or more calicheamicin molecules.
• the calicheamicin family of antibiotics, and analogues thereof, are capable of producing double-stranded DNA breaks at sub-picomolar concentrations (Hinman et al., (1993) Cancer Research 53:3336-3342; Lode et al., (1998) Cancer Research 58:2925-2928).
• Calicheamicin has intracellular sites of action but, in certain instances, does not readily cross the plasma membrane.
• cellular uptake of these agents through antibody-mediated internalization may, in some embodiments, greatly enhances their cytotoxic effects.
• Nonlimiting exemplary methods of preparing antibody-drug conjugates with a calicheamicin drug moiety are described, for example, in US 5712374; US 5714586; US 57391 16; and US 5767285.
• the calicheamicin drug moiety conjugated to the antibody is a compound having the formula:
• X is Br
• R a is hydrogen
• R is isopropyl
• X is Br, R a is hydrogen and R is ethyl.
• X is I, R a is hydrogen and R is isopropyl.
• X is I
• R a is hydrogen
• R is ethyl
• X is Br
• R a is hydrogen
• R -C( 0)CH3.
• X is I
• R a is hydrogen
• X is I
• R a is ethyl
• X is Br
• R a is ethyl
• an ADC comprises a pyrrolobenzodiazepine (PBD).
• PBD dimers recognize and bind to specific DNA sequences.
• the natural product anthramycin, a PBD was first reported in 1965 (Leimgruber, et al., (1965) J. Am. Chem. Soc, 87:5793- 5795; Leimgruber, et al., (1965) J. Am. Chem. Soc, 87:5791-5793). Since then, a number of PBDs, both naturally-occurring and analogues, have been reported (Thurston, et al., (1994) Chem. Rev.
• dimers of the tricyclic PBD scaffold (US 6884799; US 7049311; US 7067511; US 7265105; US 7511032; US 7528126; US 7557099).
• the dimer structure imparts the appropriate three-dimensional shape for isohelicity with the minor groove of B-form DNA, leading to a snug fit at the binding site (Kohn, In Antibiotics III. Springer- Verlag, New York, pp. 3-11 (1975); Hurley and Needham-VanDevanter, (1986) Acc. Chem. Res., 19:230-237).
• PBD compounds can be employed as prodrugs by protecting them at the N10 position with a nitrogen protecting group which is removable in vivo (WO 00/12507; WO
• PBD dimers have been conjugated to antibodies and the resulting ADC shown to have anticancer properties (US 2010/0203007).
• Nonlimiting exemplary linkage sites on the PBD dimer include the five-membered pyrrolo ring, the tether between the PBD units, and the N10-C11 imine group (WO 2010/0203007).
• Nonlimiting exemplary PBD dimer components of ADCs are of Formula A:
• the wavy line indicates the covalent attachment site to the linker
• the dotted lines indicate the optional presence of a double bond between CI and C2 or C2 and C3;
• R 6 and R 9 are independently selected from H, R, OH, OR, SH, SR, NH 2 , NHR, NRR', NO2, MesSn and halo;
• R 7 is independently selected from H, R, OH, OR, SH, SR, NH 2 , NHR, NRR', NO2, MesSn and halo;
• Q is independently selected from O, S and NH;
• R 11 is either H, or R or, where Q is O, SO3M, where M is a metal cation;
• R and R' are each independently selected from optionally substituted Ci-8 alkyl, Ci-12 alkyl, C3-8 heterocyclyl, C3-20 heterocycle, and C5-20 aryl groups, and optionally in relation to the group NRR', R and R' together with the nitrogen atom to which they are attached form an optionally substituted 4-, 5-, 6- or 7-membered heterocyclic ring;
• R 12 , R 16 , R 19 and R 17 are as defined for R 2 , R 6 , R 9 and R 7 respectively;
• R" is a C3-12 alkylene group, which chain may be interrupted by one or more heteroatoms, e.g. O, S, N(H), NMe and/or aromatic rings, e.g. benzene or pyridine, which rings are optionally substituted; and
• X and X' are independently selected from O, S and N(H).
• R and R' are each independently selected from optionally substituted Ci-12 alkyl, C3-20 heterocycle, and C5-20 aryl groups, and optionally in relation to the group NRR', R and R' together with the nitrogen atom to which they are attached form an optionally substituted 4-, 5-, 6- or 7-membered heterocyclic ring.
• R 9 and R 19 are H.
• R 6 and R 16 are H.
• R 7 are R 17 are both OR 7A , where R 7A is optionally substituted Ci- 4 alkyl.
• R 7A is Me.
• R 7A is is Cli2Ph, where Ph is a phenyl group.
• X is O.
• R 11 is H.
• R 2 and R 12 are independently selected from H and R. In some embodiments, R 2 and R 12 are independently R. In some embodiments, R 2 and R 12 are independently optionally substituted C5-20 aryl or C5-7 aryl or Cs-io aryl. In some embodiments, R 2 and R 12 are
• each group may independently have either configuration shown below:
• R" is a C3 alkylene group or a C5 alkylene group.
• an exemplary PBD dimer component of an ADC has the structure of
• n 0 or 1.
• an exemplary PBD dimer component of an ADC has the structure of
• n 0 or 1.
• an exemplary PBD dimer component of an ADC has the structure of
• R E and R E are each independently selected from H or R D , wherein R D is defined as above; and wherein n is 0 or 1.
• n is 0. In some embodiments, n is 1. In some embodiments, R E and/or R E is H. In some embodiments, R E and R E are H. In some embodiments, R E and/or R E is R D , wherein R D is optionally substituted Ci-12 alkyl. In some embodiments, R E and/or R E is R D , wherein R D is methyl.
• an exemplary PBD dimer component of an ADC has the structure of
• Ar 1 and Ar 2 are each independently optionally substituted C5-20 aryl; wherein Ar 1 and Ar 2 may be the same or different; and
• n 0 or 1.
• an exemplary PBD dimer component of an ADC has the structure of
• Ar 1 and Ar 2 are each independently optionally substituted C5-20 aryl; wherein Ar 1 and Ar 2 may be the same or different; and
• n 0 or 1.
• Ar 1 and Ar 2 are each independently selected from optionally substituted phenyl, furanyl, thiophenyl and pyridyl. In some embodiments, Ar 1 and Ar 2 are each independently optionally substituted phenyl. In some embodiments, Ar 1 and Ar 2 are each independently optionally substituted thien-2-yl or thien-3-yl. In some embodiments, Ar 1 and Ar 2 are each independently optionally substituted quinolinyl or isoquinolinyl. The quinolinyl or isoquinolinyl group may be bound to the PBD core through any available ring position.
• the quinolinyl may be quinolin-2-yl, quinolin-3-yl, quinolin-4yl, quinolin-5-yl, quinolin-6-yl, quinolin-7-yl and quinolin-8-yl.
• the quinolinyl is selected from quinolin-3-yl and quinolin-6-yl.
• the isoquinolinyl may be isoquinolin-l-yl, isoquinolin-3-yl, isoquinolin-4yl, isoquinolin-5-yl, isoquinolin-6-yl, isoquinolin-7-yl and isoquinolin-8-yl.
• the isoquinolinyl is selected from isoquinolin-3-yl and isoquinolin- 6-yl.
• the wavy line indicates the covalent attachment site to the linker
• R vl and R V2 are independently selected from H, methyl, ethyl and phenyl (which phenyl may be optionally substituted with fluoro, particularly in the 4 position) and C5-6 heterocyclyl; wherein R V1 and R v may be the same or different; and
• n 0 or 1.
• R V1 and R V2 are independently selected from H, phenyl, and 4- fluorophenyl.
• a linker may be attached at one of various sites of the PBD dimer drug moiety, including the N10 imine of the B ring, the C-2 endo/exo position of the C ring, or the tether unit linking the A rings (see structures C(I) and C(II) below).
• Nonlimiting exemplary PBD dimer components of ADCs include Formulas C(I) and C(II):
• Formulas C(I) and C(II) are shown in their N10-C11 imine form.
• Exemplary PBD drug moieties also include the carbinolamine and protected carbinolamine forms as well, as shown in the table below:
• Z and Z' are independently selected from OR and NR2, where R is a primary, secondary or tertiary alkyl chain containing 1 to 5 carbon atoms;
• Ri, R'i, R2 and R'2 are each independently selected from H, Ci-Cs alkyl, C2-C8 alkenyl, C2-C8 alkynyl, C5-20 aryl (including substituted aryls), C5-20 heteroaryl groups, -NH2, -NHMe, -OH, and -SH, where, in some embodiments, alkyl, alkenyl and alkynyl chains comprise up to 5 carbon atoms;
• R3 and R'3 are independently selected from H, OR, NHR, and NR2, where R is a primary, secondary or tertiary alkyl chain containing 1 to 5 carbon atoms;
• R 4 and R' 4 are independently selected from H, Me, and OMe;
• R5 is selected from Ci-Cs alkyl, C2-C8 alkenyl, C2-C8 alkynyl, C5-20 aryl (including aryls substituted by halo, nitro, cyano, alkoxy, alkyl, heterocyclyl) and C5-20 heteroaryl groups, where, in some
• alkyl, alkenyl and alkynyl chains comprise up to 5 carbon atoms
• R11 is H, Ci-Cs alkyl, or a protecting group (such as acetyl, trifluoroacetyl, t-butoxycarbonyl (BOC), benzyloxycarbonyl (CBZ), 9-fluorenylmethylenoxycarbonyl (Fmoc), or a moiety comprising a self- immolating unit such as valine-citrulline-PAB);
• a protecting group such as acetyl, trifluoroacetyl, t-butoxycarbonyl (BOC), benzyloxycarbonyl (CBZ), 9-fluorenylmethylenoxycarbonyl (Fmoc), or a moiety comprising a self- immolating unit such as valine-citrulline-PAB
• R12 is is H, Ci-Cs alkyl, or a protecting group; wherein a hydrogen of one of Ri, R'i, R2, R'2, R5, or R12 or a hydrogen of the - OCH2CH2(X)nCH2CH20- spacer between the A rings is replaced with a bond connected to the linker of the ADC.
• Exemplary PBD dimer portions of ADC include, but are not limited to (the wavy line indicates the site of covalent attachment to the linker):
• n is 0 to 12. In some embodiments, n is 2 to 10. In some embodiments, n is 4 to 8. In some embodiments, n is selected from 4, 5, 6, 7, and 8.
• a further non-limiting exemplary ADC comprising a PBD dimer may be made by conjugating a monomethyl disulfide NlO-linked PBD (shown below) to an antibody:
• PBD dimers and ADC comprising PBD dimers may be prepared according to methods known in the art. See, e.g., WO 2009/016516; US 2009/304710; US 2010/047257; US 2009/036431; US 2011/0256157; WO 2011/130598; WO 2013/055987.
• an ADC comprises an anthracycline.
• Anthracyclines are antibiotic compounds that exhibit cytotoxic activity. While not intending to be bound by any particular theory, studies have indicated that anthracyclines may operate to kill cells by a number of different mechanisms, including: 1) intercalation of the drug molecules into the DNA of the cell thereby inhibiting DNA-dependent nucleic acid synthesis; 2) production by the drug of free radicals which then react with cellular macromolecules to cause damage to the cells, and/or 3) interactions of the drug molecules with the cell membrane (see, e.g., C.
• Nonlimiting exemplary anthracyclines include doxorubicin, epirubicin, idarubicin, daunomycin, nemorubicin, and derivatives thereof. Immunoconjugates and prodrugs of daunorubicin and doxorubicin have been prepared and studied (Kratz et al (2006) Current Med. Chem. 13:477-523; Jeffrey et al (2006) Bioorganic & Med. Chem. Letters 16:358-362; Torgov et al (2005) Bioconj. Chem. 16:717-721; Nagy et al (2000) Proc. Natl. Acad. Sci. USA 97:829-834; Dubowchik et al (2002) Bioorg.
• PNU-159682 is a potent metabolite (or derivative) of nemorubicin (Quintieri, et al. (2005)
• Nemorubicin is a semisynthetic analog of doxorubicin with a 2-methoxymorpholino group on the glycoside amino of doxorubicin and has been under clinical evaluation (Grandi et al (1990) Cancer Treat. Rev. 17: 133; Ripamonti et al (1992) Brit. J. Cancer 65:703; ), including phase II/III trials for hepatocellular carcinoma (Sun et al (2003) Proceedings of the American Society for Clinical Oncology 22, Absl448; Quintieri (2003) Proceedings of the American Association of Cancer Research, 44: 1st Ed, Abs 4649; Pacciarini et al (2006) Jour. Clin. Oncology 24: 14116).
• a nonlimiting exemplary ADC comprising nemorubicin or nemorubicin derivatives is shown in Formula la:
• Ri is hydrogen atom, hydroxy or methoxy group and R2 is a C1-C5 alkoxy group, or a pharmaceutically acceptable salt thereof;
• Li and Z together are a linker (L) as described herein;
• T is an antibody (Ab) as described herein;
• n is 1 to about 20. In some embodiments, m is 1 to 10, 1 to 7, 1 to 5, or 1 to 4.
• Ri and R2 are both methoxy (-OMe).
• a further nonlimiting exemplary ADC comprising nemorubicin or nemorubicin derivatives is shown in Formula lb:
• Ri is hydrogen atom, hydroxy or methoxy group and R2 is a C1-C5 alkoxy group, or a pharmaceutically acceptable salt thereof;
• L2 and Z together are a linker (L) as described herein;
• T is an antibody (Ab) as described herein;
• n is 1 to about 20. In some embodiments, m is 1 to 10, 1 to 7, 1 to 5, or 1 to 4.
• Ri and R2 are both methoxy (-OMe).
• the nemorubicin component of a nemorubicin-containing ADC is
• the drug portion of the ADC may have one of the following structur
• Anthracyc lines may be conjugated to antibodies through several linkage sites and a variety of linkers (US 2011/0076287; WO2009/099741; US 2010/0034837; WO 2010/009124), including the linkers described herein.
• Exemplary ADCs comprising a nemorubicin and linker include, but are not limited to:
• PNU- 159682-val-cit-PAB-spacer(R 1 R 2 )-Ab wherein: Ri and R2 are independently selected from H and C1-C6 alkyl; and
• a further non-limiting exemplary ADC comprising a PBD dimer may be made by conjugating a pyridyl disulfide PNU amide (shown below) to an antibody:
• linker of PNU- 159682 maleimide acetal-Ab is acid-labile, while the linkers of PNU-
• 159682-val-cit-PAB-Ab, PNU-159682-val-cit-PAB-spacer-Ab, and PNU-159682-val-cit-PAB- spacer(R 1 R 2 )-Ab are protease cleavable.
• an ADC comprises l-(chloromethyl)-2,3-dihydro-lH-benzo[e]indole
• CBI The 5-amino-l-(chloromethyl)-l,2-dihydro-3H-benz[e]indole (amino CBI) class of DNA minor groove alkylators are potent cytotoxins (Atwell, et al (1999) J. Med. Chem., 42:3400), and have been utilized as effector units in a number of classes of prodrugs designed for cancer therapy. These have included antibody conjugates, (Jeffrey, et al. (2005) J. Med. Chem., 48: 1344), prodrugs for gene therapy based on nitrobenzyl carbamates (Hay, et al (2003) J. Med. Chem.
• an ADC comprises a l-(chloromethyl)-2,3-dihydro-lH- benzo[e]indole (CBI) dimer.
• the dimer is a heterodimer wherein one the dimer is a CBI moiety and the other half of the dimer is a PBD moiety.
• CBI dimer comprises the formula:
• R 1 is selected from H, P(0) 3 H 2 , C(0)NR a R b , or a bond to a linker (L);
• R 2 is selected from H, P(0) 3 H 2 , C(0)NR a R b , or a bond to a linker (L);
• R a and R b are independently selected from H and Ci-C6 alkyl optionally substituted with one or more F, or R a and R b form a five or six membered heterocyclyl group;
• T is a tether group selected from C3-C12 alkylene, Y, (C1-C6 alkylene)- Y-(Ci-C6 alkylene),
• Y is independently selected from O, S, NR 1 , aryl, and heteroaryl;
• alkylene, alkenylene, aryl, and heteroaryl are independently and optionally substituted with F, OH, 0(Ci-Ce alkyl), NH 2 , NHCH3, N(CH 3 ) 2 , OP(0) 3 H 2 , and Ci-Ce alkyl, where alkyl is optionally substituted with one or more F;
• alkylene, alkenylene, aryl, and heteroaryl are independently and optionally substituted with a bond to L;
• D' is a drug moiety selected from:
• X 1 and X 2 are independently selected from O and NR 3 , where R 3 is selected from H and C1-C6 alkyl optionally substituted with one or more F;
• R 4 is H, CO2R, or a bond to a linker (L), where R is C1-C6 alkyl or benzyl;
• R 5 is H or Ci-Ce alkyl.
• Linker-drug intermediates 51-86 of Table A were prepared by coupling a CBI dimer or a
• Linker-drug intermediates 87 and 88 of Table B were prepared by coupling a PBD dimer drug moiety with a linker reagent according to the procedures of WO 2013/055987, incorporated by reference herein in its entirety.
• Linker-drug intermediates 89 and 90 of Table C were prepared by coupling a CBl dimer drug moiety with a peptidomimetic linker reagent according to the procedures of WO 2015/095227, incorporated by reference herein in its entirety.
• Exemplary CBI dimer portions of ADCs include, but are not limited to, the following CBI-
• Nonlimiting exemplary embodiments of ADCs comprising CBI dimers have the following structur
• Nonlimiting exemplary CBI-CBI homodimer linker-drug intermediates that conjugated to antibodies to form ADCs include, but are not limited to:
• the immunoconjugate comprises an antibody conjugated to one or more amatoxin molecules.
• Amatoxins are cyclic peptides composed of 8 amino acids. They can be isolated from Amanita phalloides mushrooms or prepared synthetically. Amatoxins specifically inhibit the DNA-dependent RNA polymerase II of mammalian cells, and thereby also the transcription and protein biosynthesis of the affected cells. Inhibition of transcription in a cell causes stop of growth and
• the one or more amatoxin molecules are one or more a- amanitin molecules.
• Drug moieties also include geldanamycin (Mandler et al (2000) J. Nat. Cancer Inst.
• Drug moieties also include compounds with nucleolytic activity ⁇ e.g., a ribonuclease or a
• an immunoconjugate may comprise a radioactive atom.
• radioactive isotopes are available for the production of radioconjugated antibodies. Examples include At 211 , 1 131 , 1 125 , Y 90 , Re 186 , Re 188 , Sm 153 , Bi 212 , P 32 , Pb 212 and radioactive isotopes of Lu. In some
• an immunoconjugate when used for detection, it may comprise a radioactive atom for scintigraphic studies, for example Tc" or I 123 , or a spin label for nuclear magnetic resonance (NMR) imaging (also known as magnetic resonance imaging, MRI), such as zirconium-89, iodine- 123, iodine-131, indium-111, fluorine-19, carbon-13, nitrogen-15, oxygen-17, gadolinium, manganese or iron.
• NMR nuclear magnetic resonance
• zirconium-89 zirconium-89, iodine- 123, iodine-131, indium-111, fluorine-19, carbon-13, nitrogen-15, oxygen-17, gadolinium, manganese or iron.
• Zirconium-89 may be complexed to various metal chelating agents and conjugated to antibodies, e.g., for PET imaging (WO 2011/056983).
• radio- or other labels may be incorporated in the immunoconjugate in known ways.
• a peptide may be biosynthesized or chemically synthesized using suitable amino acid precursors comprising, for example, one or more fluorine-19 atoms in place of one or more hydrogens.
• labels such as Tc", I 123 , Re 186 , Re 188 and In 111 can be attached via a cysteine residue in the antibody.
• yttrium-90 can be attached via a lysine residue of the antibody.
• the IODOGEN method (Fraker et al (1978) Biochem. Biophys. Res. Commun. 80: 49-57 can be used to incorporate iodine- 123. "Monoclonal Antibodies in Immunoscintigraphy" (Chatal, CRC Press 1989) describes certain other methods.
• an immunoconjugate may comprise an antibody conjugated to a prodrug-activating enzyme.
• a prodrug-activating enzyme converts a prodrug (e.g. , a peptidyl chemotherapeutic agent, see WO 81/01 145) to an active drug, such as an anti-cancer drug.
• ADEPT antibody-dependent enzyme-mediated prodrug therapy
• Enzymes that may be conjugated to an antibody include, but are not limited to, alkaline phosphatases, which are useful for converting phosphate-containing prodrugs into free drugs; arylsulfatases, which are useful for converting sulfate-containing prodrugs into free drugs; cytosine deaminase, which is useful for converting non-toxic 5-fluorocytosine into the anti-cancer drug, 5- fluorouracil; proteases, such as serratia protease, thermolysin, subtilisin, carboxypeptidases and cathepsins (such as cathepsins B and L), which are useful for converting peptide-containing prodrugs into free drugs; D-alanylcarboxypeptidases, which are useful for converting prodrugs that contain D-amino acid substituents; carbohydrate-cleaving enzymes such as ⁇ -galactosidase and neuraminidase, which are useful for converting glycosy
• Drug loading is represented by p, the average number of drug moieties per antibody in a molecule of Formula I. Drug loading may range from 1 to 20 drug moieties (D) per antibody.
• ADCs of Formula I include collections of antibodies conjugated with a range of drug moieties, from 1 to 20.
• the average number of drug moieties per antibody in preparations of ADC from conjugation reactions may be characterized by conventional means such as mass spectroscopy, ELISA assay, and HPLC.
• the quantitative distribution of ADC in terms of p may also be determined.
• separation, purification, and characterization of homogeneous ADC where p is a certain value from ADC with other drug loadings may be achieved by means such as reverse phase HPLC or electrophoresis.
• p may be limited by the number of attachment sites on the antibody.
• an antibody may have only one or several cysteine thiol groups, or may have only one or several sufficiently reactive thiol groups through which a linker may be attached.
• higher drug loading e.g. p >5
• the average drug loading for an ADC ranges from 1 to about 8; from about 2 to about 6; or from about 3 to about 5. Indeed, it has been shown that for certain ADCs, the optimal ratio of drug moieties per antibody may be less than 8, and may be about 2 to about 5 (US 7498298).
• an antibody may contain, for example, lysine residues that do not react with the drug-linker intermediate or linker reagent, as discussed below.
• antibodies do not contain many free and reactive cysteine thiol groups which may be linked to a drug moiety; indeed most cysteine thiol residues in antibodies exist as disulfide bridges.
• an antibody may be reduced with a reducing agent such as dithiothreitol (DTT) or
• TCEP tricarbonylethylphosphine
• an antibody is subjected to denaturing conditions to reveal reactive nucleophilic groups such as lysine or cysteine.
• the loading (drug/antibody ratio) of an ADC may be controlled in different ways, and for example, by: (i) limiting the molar excess of drug-linker intermediate or linker reagent relative to antibody, (ii) limiting the conjugation reaction time or temperature, and (iii) partial or limiting reductive conditions for cysteine thiol modification.
• the resulting product is a mixture of ADC compounds with a distribution of one or more drug moieties attached to an antibody.
• the average number of drugs per antibody may be calculated from the mixture by a dual ELISA antibody assay, which is specific for antibody and specific for the drug.
• Individual ADC molecules may be identified in the mixture by mass spectroscopy and separated by HPLC, e.g. hydrophobic interaction chromatography (see, e.g., McDonagh et al (2006) Prot. Engr. Design & Selection 19(7):299-307; Hamblett et al (2004) Clin. Cancer Res.
• An ADC of Formula I may be prepared by several routes employing organic chemistry reactions, conditions, and reagents known to those skilled in the art, including: (1) reaction of a
• nucleophilic group of an antibody with a bivalent linker reagent to form Ab-L via a covalent bond, followed by reaction with a drug moiety D
• reaction of a nucleophilic group of a drug moiety with a bivalent linker reagent, to form D-L, via a covalent bond, followed by reaction with a nucleophilic group of an antibody Exemplary methods for preparing an ADC of Formula I via the latter route are described in US 7498298, which is expressly incorporated herein by reference.
• Nucleophilic groups on antibodies include, but are not limited to: (i) N-terminal amine groups, (ii) side chain amine groups, e.g. lysine, (iii) side chain thiol groups, e.g. cysteine, and (iv) sugar hydroxyl or amino groups where the antibody is glycosylated.
• Amine, thiol, and hydroxyl groups are nucleophilic and capable of reacting to form covalent bonds with electrophilic groups on linker moieties and linker reagents including: (i) active esters such as NHS esters, HOBt esters, haloformates, and acid halides; (ii) alkyl and benzyl halides such as haloacetamides; and (iii) aldehydes, ketones, carboxyl, and maleimide groups. Certain antibodies have reducible interchain disulfides, i.e. cysteine bridges.
• Antibodies may be made reactive for conjugation with linker reagents by treatment with a reducing agent such as DTT (dithiothreitol) or tricarbonylethylphosphine (TCEP), such that the antibody is fully or partially reduced.
• a reducing agent such as DTT (dithiothreitol) or tricarbonylethylphosphine (TCEP)
• TCEP tricarbonylethylphosphine
• Each cysteine bridge will thus form, theoretically, two reactive thiol nucleophiles.
• Additional nucleophilic groups can be introduced into antibodies through modification of lysine residues, e.g., by reacting lysine residues with 2-iminothiolane (Traut's reagent), resulting in conversion of an amine into a thiol.
• Reactive thiol groups may also be introduced into an antibody by introducing one, two, three, four, or more cysteine residues (e
• Antibody-drug conjugates of the invention may also be produced by reaction between an electrophilic group on an antibody, such as an aldehyde or ketone carbonyl group, with a nucleophilic group on a linker reagent or drug.
• an electrophilic group on an antibody such as an aldehyde or ketone carbonyl group
• nucleophilic groups on a linker reagent include, but are not limited to, hydrazide, oxime, amino, hydrazine, thiosemicarbazone, hydrazine carboxylate, and
• an antibody is modified to introduce electrophilic moieties that are capable of reacting with nucleophilic substituents on the linker reagent or drug.
• the sugars of glycosylated antibodies may be oxidized, e.g. with periodate oxidizing reagents, to form aldehyde or ketone groups which may react with the amine group of linker reagents or drug moieties.
• the resulting imine Schiff base groups may form a stable linkage, or may be reduced, e.g. by borohydride reagents to form stable amine linkages.
• reaction of the carbohydrate portion of a glycosylated antibody with either galactose oxidase or sodium meta-periodate may yield carbonyl (aldehyde and ketone) groups in the antibody that can react with appropriate groups on the drug (Hermanson, Bioconjugate Techniques).
• antibodies containing N-terminal serine or threonine residues can react with sodium meta-periodate, resulting in production of an aldehyde in place of the first amino acid (Geoghegan & Stroh, (1992) Bioconjugate Chem. 3: 138-146; US 5362852).
• Such an aldehyde can be reacted with a drug moiety or linker nucleophile.
• nucleophilic groups on a drug moiety include, but are not limited to: amine, thiol, hydroxyl, hydrazide, oxime, hydrazine, thiosemicarbazone, hydrazine carboxylate, and arylhydrazide groups capable of reacting to form covalent bonds with electrophilic groups on linker moieties and linker reagents including: (i) active esters such as NHS esters, HOBt esters, haloformates, and acid halides; (ii) alkyl and benzyl halides such as haloacetamides; (iii) aldehydes, ketones, carboxyl, and maleimide groups.
• active esters such as NHS esters, HOBt esters, haloformates, and acid halides
• alkyl and benzyl halides such as haloacetamides
• aldehydes ketones, carboxyl, and maleimide groups.
• Nonlimiting exemplary cross-linker reagents that may be used to prepare ADC are described herein in the section titled "Exemplary Linkers.” Methods of using such cross-linker reagents to link two moieties, including a proteinaceous moiety and a chemical moiety, are known in the art.
• a fusion protein comprising an antibody and a cytotoxic agent may be made, e.g., by recombinant techniques or peptide synthesis.
• a recombinant DNA molecule may comprise regions encoding the antibody and cytotoxic portions of the conjugate either adjacent to one another or separated by a region encoding a linker peptide which does not destroy the desired properties of the conjugate.
• an antibody may be conjugated to a "receptor” (such as streptavidin) for utilization in tumor pre-targeting wherein the antibody-receptor conjugate is administered to the patient, followed by removal of unbound conjugate from the circulation using a clearing agent and then administration of a "ligand” ⁇ e.g., avidin) which is conjugated to a cytotoxic agent ⁇ e.g., a drug or radionucleotide).
• a "receptor” such as streptavidin
• the present invention includes therapeutic treatments with trastuzumab-MCC-DMl (T-
• DM1 also referred to as trastuzumab emtansine
• trastuzumab emtansine an antibody-drug conjugate (CAS Reg. No. 139504-50- 0), which has the structure:
• Tr is trastuzumab linked through linker moiety MCC to the maytansinoid drug moiety DM1 (US 5208020; US 6441 163).
• the drug to antibody ratio or drug loading is represented by p in the above structure of trastuzumab-MCC-DMl, and ranges in integer values from 1 to about 8.
• Trastuzumab-MCC- DM1 includes all mixtures of variously loaded and attached antibody-drug conjugates where 1 , 2, 3, 4, 5, 6, 7, and 8 drug moieties are covalently attached to the antibody trastuzumab (US 7097840; US 8337856; US 2005/0276812; US 2005/0166993).
• Trastuzumab can be produced by a mammalian cell (Chinese Hamster Ovary, CHO) suspension culture.
• the HER2 (or c-erbB2) proto-oncogene encodes a transmembrane receptor protein of 185kDa, which is structurally related to the epidermal growth factor receptor.
• Trastuzumab is an antibody that has antigen binding residues of, or derived from, the murine 4D5 antibody (ATCC CRL 10463, deposited with American Type Culture Collection, 12301 Parklawn Drive, Rockville, Md. 20852 under the Budapest Treaty on May 24, 1990).
• Exemplary humanized 4D5 antibodies include huMAb4D5-l , huMAb4D5-2, huMAb4D5-3, huMAb4D5-4, huMAb4D5-5, huMAb4D5-6, huMAb4D5-7 and
• the antibody portion of T-DMl comprises the light and heavy chain amino acid sequences shown in SEQ ID NO: 30 and SEQ ID NO. 29, respectively.
• Trastuzumab-MCC-DMl may be prepared according to Example 1 of U.S. Application
• MCC-DMl administered per dose will be in the range of about 0.3 to 15 mg/kg/day of patient body weight.
• a commercial T-DMl fomulation (KADCYLA®, ado-trastuzumab emtansine) is a sterile, white to off-white preservative free lyophilized powder in single-use vials.
• Each vial contains 100 mg or 160 mg ado-trastuzumab emtansine.
• each single-use vial contains ado- trastuzumab emtansine (20 mg/mL), polysorbate 20 [0.02% (w/v)], sodium succinate (10 mM), and sucrose [6% (w/v)] with a H of 5.0 and density of 1.026 g/niL.
• ado- trastuzumab emtansine is administered by intravenous infusion following dilution.
• ado-trastuzumab emtansine is administered at a dose of 3.6 mg/kg every three weeks.
• ado-trastuzumab emtansine is administered at a dose of 2.4 mg/kg every week.
• the pertuzumab composition comprises a mixture of a main species pertuzumab antibody, as hereinabove defined, and one or more variants thereof.
• the preferred embodiment herein of a pertuzumab main species antibody is one comprising a light chain amino acid sequence of SEQ ID NO: 32, and a heavy chain amino acid sequence of SEQ ID NO: 31 (including deamidated and/or oxidized variants of those sequences).
• the composition comprises a mixture of the main species pertuzumab antibody and an amino acid sequence variant thereof comprising an amino-terminal leader extension, e.g., comprising a light chain amino acid sequence of SEQ ID NO: 34, and a heavy chain amino acid sequence of SEQ ID NO: 33.
• the amino-terminal leader extension is on a light chain of the antibody variant (e.g. on one or two light chains of the antibody variant).
• the main species HER2 antibody or the antibody variant may be an full length antibody or antibody fragment (e.g. Fab of F(ab')2 fragments), but preferably both are full length antibodies.
• the antibody variant herein may comprise an amino-terminal leader extension on any one or more of the heavy or light chains thereof.
• the amino-terminal leader extension is on one or two light chains of the antibody.
• the amino-terminal leader extension preferably comprises or consists of VHS— .
• Presence of the amino-terminal leader extension in the composition can be detected by various analytical techniques including, but not limited to, N-terminal sequence analysis, assay for charge heterogeneity (for instance, cation exchange chromatography or capillary zone electrophoresis), mass spectrometry, etc.
• the amount of the antibody variant in the composition generally ranges from an amount that constitutes the detection limit of any assay (preferably N-terminal sequence analysis) used to detect the variant to an amount less than the amount of the main species antibody. Generally, about 20% or less (e.g. from about 1% to about 15%, for instance from 5% to about 15%)) of the antibody molecules in the composition comprise an amino-terminal leader extension.
• Such percentage amounts are preferably determined using quantitative N-terminal sequence analysis or cation exchange analysis (preferably using a high-resolution, weak cation-exchange column, such as a PPvOPAC WCX-10TM cation exchange column).
• a high-resolution, weak cation-exchange column such as a PPvOPAC WCX-10TM cation exchange column.
• further amino acid sequence alterations of the main species antibody and/or variant are contemplated, including but not limited to an antibody comprising a C-terminal lysine residue on one or both heavy chains thereof, a deamidated antibody variant, etc.
• the main species antibody or variant may further comprise glycosylation variations, non- limiting examples of which include antibody comprising a Gl or G2 oligosaccharide structure attached to the Fc region thereof, antibody comprising a carbohydrate moiety attached to a light chain thereof (e.g. one or two carbohydrate moieties, such as glucose or galactose, attached to one or two light chains of the antibody, for instance attached to one or more lysine residues), antibody comprising one or two non-glycosylated heavy chains, or antibody comprising a sialidated oligosaccharide attached to one or two heavy chains thereof etc.
• glycosylation variations non- limiting examples of which include antibody comprising a Gl or G2 oligosaccharide structure attached to the Fc region thereof, antibody comprising a carbohydrate moiety attached to a light chain thereof (e.g. one or two carbohydrate moieties, such as glucose or galactose, attached to one or two light chains of the antibody, for instance
• composition may be recovered from a genetically engineered cell line, e.g. a Chinese
• Hamster Ovary (CHO) cell line expressing the HER2 antibody or may be prepared by peptide synthesis.
• a commercial formulation of pertuzumab contains pertuzumab 420mg/14mL
• pertuzumab therapy comprises administration of an initial loading dose of 840 mg, following by administration of a flat maintenance dose of 420 mg every three weeks.
• any of the anti-HER2 antibodies provided herein is useful for detecting the presence of HER2 in a biological sample.
• the term “detecting” as used herein encompasses quantitative or qualitative detection.
• a “biological sample” comprises, e.g., a cell or tissue (e.g., biopsy material, including cancerous or potentially cancerous breast tissue).
• an anti-HER2 antibody for use in a method of diagnosis or detection is provided.
• a method of detecting the presence of HER2 in a biological sample comprises contacting the biological sample with an anti- HER2 antibody as described herein under conditions permissive for binding of the anti-HER2 antibody to HER2, and detecting whether a complex is formed between the anti-HER2 antibody and HER2 in the biological sample.
• Such method may be an in vitro or in vivo method.
• an anti-HER2 antibody is used to select subjects eligible for therapy with an anti-HER2 antibody, e.g. where HER2 is a biomarker for selection of patients.
• the biological sample is a cell or tissue.
• an anti-HER2 antibody is used in vivo to detect, e.g., by in vivo imaging, a HER2 -positive cancer in a subject, e.g., for the purposes of diagnosing, prognosing, or staging cancer, determining the appropriate course of therapy, or monitoring response of a cancer to therapy.
• a method known in the art for in vivo detection is immuno-positron emission tomography (immuno-PET), as described, e.g., in van Dongen et al., The Oncologist 12: 1379-1389 (2007) and Verel et al., J. Nucl. Med. 44: 1271-1281 (2003).
• a method for detecting a HER2-positive cancer in a subject comprising administering a labeled anti-HER2antibody to a subject having or suspected of having a HER2 -positive cancer, and detecting the labeled anti-HER2 antibody in the subject, wherein detection of the labeled anti-HER2 antibody indicates a HER2 -positive cancer in the subject.
• the labeled anti-HER2 antibody comprises an anti-HER2 antibody conjugated to a positron emitter, such as 68 Ga, 18 F, ⁇ Cu, 86 Y, 76 Br, 89 Zr, and 124 I.
• the positron emitter is 89 Zr.
• a method of diagnosis or detection comprises contacting a first anti-HER2 antibody immobilized to a substrate with a biological sample to be tested for the presence of HER2, exposing the substrate to a second anti-HER2 antibody, and detecting whether the second anti- HER2 is bound to a complex between the first anti-HER2 antibody and HER2in the biological sample.
• a substrate may be any supportive medium, e.g., glass, metal, ceramic, polymeric beads, slides, chips, and other substrates.
• a biological sample comprises a cell or tissue.
• the first or second anti-HER2 antibody is any of the antibodies described herein.
• Exemplary disorders that may be diagnosed or detected according to any of the above embodiments include HER2 -positive cancers, such as HER2 -positive breast cancer and HER2 -positive gastric cancer.
• HER2 -positive cancer has an immunohistochemistry (IHC) score of 2+ or 3+ and/or an in situ hybridization (ISH) amplification ratio >2.0.
• labeled anti-HER2 antibodies include, but are not limited to, labels or moieties that are detected directly (such as fluorescent, chromophoric, electron- dense, chemiluminescent, and radioactive labels), as well as moieties, such as enzymes or ligands, that are detected indirectly, e.g., through an enzymatic reaction or molecular interaction.
• Exemplary labels include, but are not limited to, the radioisotopes 32 P, 14 C, 125 1, 3 H, and 131 I, fluorophores such as rare earth chelates or fluorescein and its derivatives, rhodamine and its derivatives, dansyl, umbelliferone, luceriferases, e.g., firefly luciferase and bacterial luciferase (U.S. Patent No.
• luciferin 2,3- dihydrophthalazinediones
• horseradish peroxidase HRP
• alkaline phosphatase ⁇ -galactosidase
• glucoamylase lysozyme
• saccharide oxidases e.g., glucose oxidase, galactose oxidase, and glucoses- phosphate dehydrogenase
• heterocyclic oxidases such as uricase and xanthine oxidase, coupled with an enzyme that employs hydrogen peroxide to oxidize a dye precursor such as HRP, lactoperoxidase, or microperoxidase, biotin/avidin, spin labels, bacteriophage labels, stable free radicals, and the like.
• a label is a positron emitter.
• Positron emitters include but are not limited to 68 Ga, 18 F, 64 Cu, 86 Y, 76 Br, 89 Zr, and 124 I.
• a positron emitter is 89 Zr.
• compositions of an anti-HER2 antibody or immunoconjugate as described herein are prepared by mixing such antibody or immunoconjugate having the desired degree of purity with one or more optional pharmaceutically acceptable carriers ⁇ Remington 's Pharmaceutical Sciences 16th edition, Osol, A. Ed. (1980)), in the form of lyophilized formulations or aqueous solutions.
• Pharmaceutically acceptable carriers are generally nontoxic to recipients at the dosages and concentrations employed, and include, but are not limited to: buffers such as phosphate, citrate, and other organic acids; antioxidants including ascorbic acid and methionine; preservatives (such as octadecyldimethylbenzyl ammonium chloride; hexamethonium chloride; benzalkonium chloride; benzethonium chloride; phenol, butyl or benzyl alcohol; alkyl parabens such as methyl or propyl paraben; catechol; resorcinol;
• buffers such as phosphate, citrate, and other organic acids
• antioxidants including ascorbic acid and methionine
• preservatives such as octadecyldimethylbenzyl ammonium chloride; hexamethonium chloride; benzalkonium chloride; benzethonium chloride; phenol, butyl or benzyl
• cyclohexanol 3-pentanol; and m-cresol
• low molecular weight polypeptides such as serum albumin, gelatin, or immunoglobulins
• proteins such as serum albumin, gelatin, or immunoglobulins
• hydrophilic polymers such as
• polyvinylpyrrolidone amino acids such as glycine, glutamine, asparagine, histidine, arginine, or lysine; monosaccharides, disaccharides, and other carbohydrates including glucose, mannose, or dextrins;
• chelating agents such as EDTA
• sugars such as sucrose, mannitol, trehalose or sorbitol
• salt-forming counter-ions such as sodium
• metal complexes e.g. Zn-protein complexes
• non-ionic surfactants such as polyethylene glycol (PEG).
• exemplary pharmaceutically acceptable carriers herein further include insterstitial drug dispersion agents such as soluble neutral-active hyaluronidase glycoproteins (sHASEGP), for example, human soluble PH-20 hyaluronidase glycoproteins, such as rHuPH20 (HYLENEX ® , Baxter International, Inc.).
• sHASEGPs and methods of use including rHuPH20, are described in US Patent Publication Nos. 2005/0260186 and 2006/0104968.
• a sHASEGP is combined with one or more additional glycosaminoglycanases such as chondroitinases.
• Aqueous antibody or immunoconjugate formulations include those described in US Patent No. 6,171,586 and WO2006/044908, the latter formulations including a histidine-acetate buffer.
• the formulation herein may also contain more than one active ingredient as necessary for the particular indication being treated, preferably those with complementary activities that do not adversely affect each other.
• Active ingredients may be entrapped in microcapsules prepared, for example, by coacervation techniques or by interfacial polymerization, for example, hydroxymethylcellulose or gelatin- microcapsules and poly-(methylmethacylate) microcapsules, respectively, in colloidal drug delivery systems (for example, liposomes, albumin microspheres, microemulsions, nano-particles and nanocapsules) or in macroemulsions.
• colloidal drug delivery systems for example, liposomes, albumin microspheres, microemulsions, nano-particles and nanocapsules
• Sustained-release preparations may be prepared. Suitable examples of sustained-release preparations include semipermeable matrices of solid hydrophobic polymers containing the antibody or immunoconjugate, which matrices are in the form of shaped articles, e.g. films, or microcapsules.
• the formulations to be used for in vivo administration are generally sterile. Sterility may be readily accomplished, e.g., by filtration through sterile filtration membranes. H. Therapeutic Methods and Compositions
• any of the anti-HER2 antibodies or immunoconjugates provided herein may be used in methods, e.g., therapeutic methods.
• an anti-HER2 antibody or immunoconjugate provided herein is used in a method of inhibiting proliferation of a HER2 -positive cell, the method comprising exposing the cell to the anti-HER2 antibody or immunoconjugate under conditions permissive for binding of the anti-HER2 antibody or immunoconjugate to HER2 on the surface of the cell, thereby inhibiting the proliferation of the cell.
• the method is an in vitro or an in vivo method.
• the cell is a breast cancer cell or a gastric cancer cell.
• Luminescent Cell Viability Assay which is commercially available from Promega (Madison, WI). That assay determines the number of viable cells in culture based on quantitation of ATP present, which is an indication of metabolically active cells. See Crouch et al. (1993) J. Immunol. Meth. 160:81-88, US Pat. No. 6602677. The assay may be conducted in 96- or 384-well format, making it amenable to automated high- throughput screening (HTS). See Cree et al. (1995) Anticancer Drugs 6:398-404. The assay procedure involves adding a single reagent (CellTiter-Glo ® Reagent) directly to cultured cells.
• CellTiter-Glo ® Reagent Single reagent directly to cultured cells.
• the luminescent signal is proportional to the amount of ATP present, which is directly proportional to the number of viable cells present in culture. Data can be recorded by luminometer or CCD camera imaging device. The luminescence output is expressed as relative light units (RLU).
• an anti-HER2 antibody or immunoconjugate for use as a medicament is provided.
• an anti-HER2 antibody or immunoconjugate for use in a method of treatment is provided.
• an anti-HER2 antibody or immunoconjugate for use in treating HER2- positive cancer is provided.
• the invention provides an anti-HER2 antibody or immunoconjugate for use in a method of treating an individual having a HER2 -positive cancer, the method comprising administering to the individual an effective amount of the anti-HER2 antibody or
• the method further comprises administering to the individual an effective amount of at least one additional therapeutic agent, e.g., as described below.
• the invention provides for the use of an anti-HER2 antibody or immunoconjugate in the manufacture or preparation of a medicament.
• the medicament is for treatment of HER2 -positive cancer.
• the medicament is for use in a method of treating HER2 -positive cancer, the method comprising administering to an individual having HER2- positive cancer an effective amount of the medicament.
• the method further comprises administering to the individual an effective amount of at least one additional therapeutic agent, e.g. , as described below.
• the invention provides a method for treating HER2 -positive cancer.
• the method comprises administering to an individual having such HER2 -positive cancer an effective amount of an anti-HER2 antibody or immunoconjugate.
• the method further comprises administering to the individual an effective amount of at least one additional therapeutic agent, as described below.
• a HER2 -positive cancer may be, e.g. , HER2- positive breast cancer or HER2 -positive gastric cancer.
• HER2 -positive cancer has an immunohistochemistry (IHC) score of 2+ or 3+ and/or an in situ hybridization (ISH) amplification ratio >2.0.
• An "individual,” “patient,” or “subject” according to any of the above embodiments may be a human.
• the invention provides pharmaceutical formulations comprising any of the anti-HER2 antibodies or immunoconjugate provided herein, e.g. , for use in any of the above therapeutic methods.
• a pharmaceutical formulation comprises any of the anti-HER2 antibodies or immunoconjugates provided herein and a pharmaceutically acceptable carrier.
• a pharmaceutical formulation comprises any of the anti-HER2 antibodies or immunoconjugates provided herein and at least one additional therapeutic agent, e.g. , as described below.
• Antibodies or immunoconjugates of the invention can be used either alone or in
• an antibody or immunoconjugate of the invention may be co-administered with at least one additional therapeutic agent.
• the additional therapeutic agent is also an antibody or immunoconjugate that binds to HER2.
• the additional therapeutic agent is (i) an antibody or immunoconjugate that binds to domain II of HER2, and/or (ii) an antibody or
• the additional therapeutic agent is (i) an antibody or immunoconjugate that binds to epitope 2C4, and/or (ii) an antibody or immunoconjugate that binds to epitope 4D5.
• a hu7C2.v.2.2.LA antibody-drug conjugate (hu7C2 ADC) is coadministered with one or more additional therapeutic agents selected from trastuzumab (Herceptin®), T- DM1 (Kadcyla®) and pertuzumab (Perjeta®).
• an hu7C2 ADC is co-administered with trastuzumab.
• a hu7C2 ADC is co-administered with T-DM1.
• a hu7C2 ADC is co-administered with pertuzumab.
• a hu7C2 ADC is co-administered with trastuzumab and pertuzumab. In some embodiments, a hu7C2 ADC is coadministered with T-DM1 and pertuzumab.
• Such combination therapies noted above encompass combined administration (where two or more therapeutic agents are included in the same or separate formulations), and separate administration, in which case, administration of the antibody or immunoconjugate of the invention can occur prior to, simultaneously, and/or following, administration of the additional therapeutic agent and/or adjuvant.
• Antibodies or immunoconjugates of the invention can also be used in combination with radiation therapy.
• An antibody or immunoconjugate of the invention can be administered by any suitable means, including parenteral, intrapulmonary, and intranasal, and, if desired for local treatment, intralesional administration.
• Parenteral infusions include intramuscular, intravenous, intraarterial, intraperitoneal, or subcutaneous administration. Dosing can be by any suitable route, e.g. by injections, such as intravenous or subcutaneous injections, depending in part on whether the administration is brief or chronic.
• Various dosing schedules including but not limited to single or multiple administrations over various time-points, bolus administration, and pulse infusion are contemplated herein.
• Antibodies or immunoconjugates of the invention would be formulated, dosed, and administered in a fashion consistent with good medical practice.
• Factors for consideration in this context include the particular disorder being treated, the particular mammal being treated, the clinical condition of the individual patient, the cause of the disorder, the site of delivery of the agent, the method of
• the antibody or immunoconjugate need not be, but is optionally formulated with one or more agents currently used to prevent or treat the disorder in question.
• the effective amount of such other agents depends on the amount of antibody or immunoconjugate present in the formulation, the type of disorder or treatment, and other factors discussed above. These are generally used in the same dosages and with administration routes as described herein, or about from 1 to 99% of the dosages described herein, or in any dosage and by any route that is empirically/clinically determined to be appropriate.
• an antibody or immunoconjugate of the invention when used alone or in combination with one or more other additional therapeutic agents, will depend on the type of disease to be treated, the type of antibody or
• the antibody or immunoconjugate is suitably administered to the patient at one time or over a series of treatments.
• about 1 ⁇ g/kg to 15 mg/kg (e.g. O. lmg/kg-lOmg/kg) of antibody or immunoconjugate can be an initial candidate dosage for administration to the patient, whether, for example, by one or more separate administrations, or by continuous infusion.
• One typical daily dosage might range from about 1 ⁇ g/kg to 100 mg/kg or more, depending on the factors mentioned above.
• the treatment would generally be sustained until a desired suppression of disease symptoms occurs.
• One exemplary dosage of the antibody or immunoconjugate would be in the range from about 0.05 mg/kg to about 10 mg/kg.
• one or more doses of about 0.5 mg/kg, 2.0 mg/kg, 4.0 mg/kg or 10 mg/kg (or any combination thereof) may be administered to the patient.
• Such doses may be administered intermittently, e.g. every week or every three weeks ⁇ e.g. such that the patient receives from about two to about twenty, or e.g. about six doses of the antibody).
• An initial higher loading dose, followed by one or more lower doses may be administered.
• other dosage regimens may be useful. The progress of this therapy is easily monitored by conventional techniques and assays.
• the kit comprises a container comprising a hu7C2 ADC. In some embodiments, the kit further comprises a container comprising trastuzumab-MCC-DMl . In some embodiments, the kit further comprises container comprising pertuzumab. In some embodiments, a kit further comprises a container comprising trastuzumab-MCC-DMl and a container comprising pertuzumab.
• the kit comprises two or more of hu7C2 ADC, trastuzumab-MCC-DMl, and pertuzumab in the same container.
• the kit may further comprise a label or package insert, on or associated with the container.
• package insert is used to refer to instructions customarily included in commercial packages of therapeutic products, that contain information about the indications, usage, dosage, administration, contraindications and/or warnings concerning the use of such therapeutic products.
• Suitable containers include, for example, bottles, vials, syringes, blister pack, etc.
• the container may be formed from a variety of materials such as glass or plastic.
• the container may hold hu7C2 ADC and, optionally, trastuzumab-MCC-DMl and/or pertuzumab or a formulation thereof which is effective for use in a treatment method herein, and may have a sterile access port (for example, the container may be an intravenous solution bag or a vial having a stopper pierceable by a hypodermic injection needle).
• the label or package insert indicates that the composition is used in a treatment method as described and claimed herein.
• the article of manufacture may also contain a further container comprising a pharmaceutically acceptable buffer, such as bacteriostatic water for injection (BWFI), phosphate -buffered saline, Ringer's solution and dextrose solution. It may further include other materials desirable from a commercial and user standpoint, including other buffers, diluents, filters, needles, and syringes.
• a pharmaceutically acceptable buffer such as bacteriostatic water for injection (BWFI), phosphate -buffered saline, Ringer's solution and dextrose solution.
• the kit may further comprise directions for the administration of hu7C2 ADC and, optionally, trastuzumab-MCC-DMl and/or pertuzumab.
• the kit may further comprise directions for the simultaneous, sequential or separate administration of the first and second pharmaceutical compositions to a patient in need thereof.

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